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General NPI Number Information
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NPI Number | 1245619782
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Entity Type | Organization
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Legal Business Name | BRIGHTER DAYS DENTAL HYGIENE CLINIC
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Dates
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Enumeration Date | 05/28/2015
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Last Update Date | 05/29/2015
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Provider Practice Location Address
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Address Line | 5925 LEHMAN DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-3425
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Country | US
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Telephone | 719-425-8964
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Fax |
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Provider Business Mailing Address
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Address Line | 5925 LEHMAN DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-3425
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Country | US
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Telephone | 719-425-8964
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Fax |
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Authorized Official
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Title or Position | DENTAL HYGIENIST
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Name | CASSANDRA M BRIGHT
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Credential | DH002023493
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Telephone | 719-425-8964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | DH002023493
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License Number State | CO
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