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General NPI Number Information
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NPI Number | 1992619050
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Entity Type | Organization
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Legal Business Name | BRAVE BUTTERFLY INC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 2381 BELMONT AVE APT 3A
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City | BRONX
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State | NY
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Zip | 10458-8264
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Country | US
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Telephone | 347-872-0095
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Fax |
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Provider Business Mailing Address
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Address Line | 2381 BELMONT AVE APT 3A
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City | BRONX
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State | NY
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Zip | 10458-8264
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Country | US
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Telephone | 347-872-0095
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAWN NYREE MIRANDA
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Credential |
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Telephone | 347-872-0095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | NULL
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