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General NPI Number Information
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NPI Number | 1144689191
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Entity Type | Organization
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Legal Business Name | BRIGHTERCARE HOMECARE LLC
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Dates
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Enumeration Date | 02/18/2016
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Last Update Date | 02/18/2016
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Provider Practice Location Address
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Address Line | 6392 MCLEOD DR STE 2
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City | LAS VEGAS
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State | NV
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Zip | 89120-4417
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Country | US
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Telephone | 702-445-8292
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Fax |
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Provider Business Mailing Address
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Address Line | 1832 W NELSON AVE
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City | N LAS VEGAS
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State | NV
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Zip | 89032-3754
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Country | US
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Telephone | 702-445-8292
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JACQUELINE DIANA JONES
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Credential |
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Telephone | 702-445-8292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | NV
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