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General NPI Number Information
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NPI Number | 1356687354
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Entity Type | Organization
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Legal Business Name | BRILLIANT CORNERS
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Dates
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Enumeration Date | 12/19/2012
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 854 FOLSOM ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-1123
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Country | US
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Telephone | 415-618-0012
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Fax |
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Provider Business Mailing Address
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Address Line | 854 FOLSOM ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94107-1123
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Country | US
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Telephone | 415-618-0012
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Fax |
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Authorized Official
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Title or Position | DEPUTY CHIEF OPERATING OFFICER
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Name | TYLER FONG
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Credential |
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Telephone | 415-618-0012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management 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 | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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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 | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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