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General NPI Number Information
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NPI Number | 1235196833
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Entity Type | Individual
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Provider Name | SUSAN ELAINE BRIGHT MD
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Gender | Female
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 04/18/2023
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Provider Practice Location Address
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Address Line | 1250 VALLEY VIEW DR
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City | DELTA
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State | CO
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Zip | 81416-3138
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Country | US
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Telephone | 970-874-8981
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Fax | 855-299-7586
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Provider Business Mailing Address
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Address Line | PO BOX 529
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City | OLATHE
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State | CO
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Zip | 81425-0529
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Country | US
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Telephone | 907-032-3614
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Fax | 855-299-8071
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 11575A
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 39881
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License Number State | CO
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