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General NPI Number Information
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NPI Number | 1003194101
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Entity Type | Organization
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Legal Business Name | BRITE POINTE INC
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Dates
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Enumeration Date | 07/25/2011
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Last Update Date | 07/25/2011
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Provider Practice Location Address
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Address Line | 324 DALE RD
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City | LOUISVILLE
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State | KY
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Zip | 40229-3331
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Country | US
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Telephone | 502-713-1041
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Fax | 502-277-1528
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Provider Business Mailing Address
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Address Line | 324 DALE RD
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City | LOUISVILLE
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State | KY
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Zip | 40229-3331
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Country | US
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Telephone | 502-713-1041
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Fax | 502-277-1528
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Authorized Official
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Title or Position | PRESIDENT
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Name | TIMOTHY EARL HALL
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Credential | CPA
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Telephone | 502-905-7718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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