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General NPI Number Information
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NPI Number | 1205077542
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Entity Type | Organization
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Legal Business Name | BRIGHTER CONCEPT INC.
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Dates
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Enumeration Date | 03/17/2009
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Last Update Date | 03/17/2009
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Provider Practice Location Address
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Address Line | 2000 POST RD SUITE # LL 105
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City | FAIRFIELD
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State | CT
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Zip | 06824-5730
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Country | US
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Telephone | 203-292-8068
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Fax | 203-547-7177
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Provider Business Mailing Address
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Address Line | 2000 POST RD SUITE # LL 105
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City | FAIRFIELD
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State | CT
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Zip | 06824-5730
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Country | US
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Telephone | 203-292-8068
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Fax | 203-547-7177
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Authorized Official
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Title or Position | M.D
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Name | ASHIWNI SABNIS
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Credential | M.D
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Telephone | 203-292-8068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number | 043546
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 043546
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 043546
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License Number State | CT
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