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General NPI Number Information
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NPI Number | 1164382016
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Entity Type | Organization
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Legal Business Name | BRIGHTON MARINE, INC
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 77 WARREN ST
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City | BRIGHTON
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State | MA
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Zip | 02135-3601
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Country | US
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Telephone | 877-880-7007
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Fax | 617-562-5296
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Provider Business Mailing Address
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Address Line | 77 WARREN ST
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City | BRIGHTON
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State | MA
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Zip | 02135-3601
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Country | US
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Telephone | 877-880-7007
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Fax | 617-562-5296
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT, FINANCE
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Name | JENNIFER HUNT
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Credential |
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Telephone | 617-817-3748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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