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General NPI Number Information
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NPI Number | 1255145165
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Entity Type | Organization
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Legal Business Name | BRIGHT PATH CARE
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 8735 DUNWOODY PL # 6828
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City | ATLANTA
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State | GA
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Zip | 30350-2995
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Country | US
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Telephone | 470-852-9602
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Fax |
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Provider Business Mailing Address
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Address Line | 8735 DUNWOODY PL # 6828
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City | ATLANTA
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State | GA
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Zip | 30350-2995
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Country | US
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Telephone | 470-852-9602
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | TAYLOR BRADLEY
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Credential |
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Telephone | 470-852-9602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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