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General NPI Number Information
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NPI Number | 1265807333
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Entity Type | Organization
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Legal Business Name | BRIGHT FUTURE PEDIATRICS P L L C
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 01/29/2016
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Provider Practice Location Address
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Address Line | 1125 S LINDEN RD STE 500
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City | FLINT
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State | MI
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Zip | 48532-4069
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Country | US
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Telephone | 810-262-2150
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Fax | 810-732-3199
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Provider Business Mailing Address
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Address Line | 1125 S LINDEN RD STE 500
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City | FLINT
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State | MI
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Zip | 48532-4069
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Country | US
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Telephone | 810-262-2150
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Fax | 810-732-3199
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Authorized Official
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Title or Position | OWNER
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Name | HYTHAM H FADL
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Credential | MD
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Telephone | 810-394-0688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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