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General NPI Number Information
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NPI Number | 1013617695
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Entity Type | Organization
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Legal Business Name | BRIGHT REFLECTIONS DENTAL STUDIO
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Dates
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Enumeration Date | 03/03/2023
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Last Update Date | 03/03/2023
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Provider Practice Location Address
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Address Line | 7540 SAWMILL PKWY STE H
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City | POWELL
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State | OH
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Zip | 43065-9845
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Country | US
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Telephone | 614-389-3961
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Fax |
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Provider Business Mailing Address
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Address Line | 4080 LONDONDERRY AVE
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City | COLUMBUS
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State | OH
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Zip | 43228-3431
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Country | US
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Telephone | 216-246-1625
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | JANAI SENG
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Credential |
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Telephone | 216-246-1625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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