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General NPI Number Information
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NPI Number | 1073983094
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Entity Type | Organization
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Legal Business Name | STAR BRIGHT HEALTH SERVICES
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Dates
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Enumeration Date | 10/02/2015
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Last Update Date | 10/02/2015
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Provider Practice Location Address
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Address Line | 6440 SANDS POINT DR STE A
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City | HOUSTON
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State | TX
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Zip | 77074-3715
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Country | US
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Telephone | 832-212-1699
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Fax |
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Provider Business Mailing Address
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Address Line | 6440 SANDS POINT DR STE A
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City | HOUSTON
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State | TX
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Zip | 77074-3715
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Country | US
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Telephone | 832-212-1699
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MERCY AINABE
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Credential |
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Telephone | 832-212-1699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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