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General NPI Number Information
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NPI Number | 1174617062
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Entity Type | Organization
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Legal Business Name | BRIGHT LIGHT HOME HEALTH AGENCY
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5528 N PALM AVE STE 111
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City | FRESNO
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State | CA
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Zip | 93704-1947
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Country | US
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Telephone | 559-446-0900
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Fax | 559-446-0901
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Provider Business Mailing Address
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Address Line | 5528 N PALM AVE STE 111
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City | FRESNO
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State | CA
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Zip | 93704-1947
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Country | US
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Telephone | 559-446-0900
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Fax | 559-446-0901
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DELILAH ALARCON
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Credential |
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Telephone | 559-446-0900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0400000545
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License Number State | CA
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