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General NPI Number Information
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NPI Number | 1023205820
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Entity Type | Organization
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Legal Business Name | BRIGHT FOOT CLINIC PA
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 01/05/2011
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Provider Practice Location Address
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Address Line | 1670 W SUNSET AVE SUITE A
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City | SPRINGDALE
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State | AR
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Zip | 72762-5136
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Country | US
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Telephone | 479-750-3131
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Fax | 479-750-9631
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Provider Business Mailing Address
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Address Line | 1670 W SUNSET AVE SUITE A
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City | SPRINGDALE
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State | AR
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Zip | 72762-5136
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Country | US
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Telephone | 479-750-3131
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Fax | 479-750-9631
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEAN E BRIGHT
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Credential | DPM
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Telephone | 479-750-3131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 131
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License Number State | AR
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