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General NPI Number Information
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NPI Number | 1982288767
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Entity Type | Organization
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Legal Business Name | BRIGHTER DAYS PSYCH PLLC
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Dates
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Enumeration Date | 05/08/2021
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Last Update Date | 05/08/2021
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Provider Practice Location Address
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Address Line | 1002 BROOKSTOWN AVE
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City | WINSTON SALEM
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State | NC
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Zip | 27101-2710
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Country | US
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Telephone | 614-571-3226
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Fax |
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Provider Business Mailing Address
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Address Line | 1444 OLD TOWN RD
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City | WINSTON SALEM
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State | NC
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Zip | 27106-3104
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Country | US
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Telephone | 614-571-3226
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Fax |
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGICAL ASSOCIATE
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Name | REBECCA RUGH-WEBB
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Credential | LPA
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Telephone | 614-571-3226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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