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General NPI Number Information
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NPI Number | 1366194128
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Entity Type | Organization
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Legal Business Name | BRIGHTON HOSPICE MADISON LLC
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Dates
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Enumeration Date | 01/24/2022
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 1350 DEMING WAY STE 400
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City | MIDDLETON
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State | WI
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Zip | 53562-4662
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Country | US
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Telephone | 608-820-1646
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Fax | 608-820-1645
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Provider Business Mailing Address
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Address Line | 9800 S MONROE ST # 900
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City | SANDY
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State | UT
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Zip | 84070-4419
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Country | US
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Telephone | 801-849-0486
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Fax | 801-849-0476
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS GODFREY
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Credential |
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Telephone | 801-996-3217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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