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General NPI Number Information
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NPI Number | 1083934244
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Entity Type | Organization
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Legal Business Name | BRIGHTHEAR
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 05/04/2016
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Provider Practice Location Address
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Address Line | 6360 WILSHIRE BLVD SUITE 203
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City | LOS ANGELES
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State | CA
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Zip | 90048-5603
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Country | US
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Telephone | 323-424-7100
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Fax | 844-270-2787
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Provider Business Mailing Address
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Address Line | 6360 WILSHIRE BLVD SUITE 203
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City | LOS ANGELES
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State | CA
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Zip | 90048-5603
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Country | US
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Telephone | 323-424-7100
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Fax | 844-270-2787
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Authorized Official
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Title or Position | DISPENSER AUDIOLOGIST
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Name | MRS. JAKLIN NAGHDI
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Credential | M.A.
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Telephone | 323-424-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AU2596
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License Number State | CA
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