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General NPI Number Information
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NPI Number | 1366259608
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Entity Type | Organization
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Legal Business Name | BRIGHTSIDE HEALTH, INC.
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 2029 CENTURY PARK E
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City | LOS ANGELES
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State | CA
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Zip | 90067-2901
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Country | US
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Telephone | 415-360-3348
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Fax |
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Provider Business Mailing Address
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Address Line | 2261 MARKET ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-1612
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Country | US
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Telephone | 415-360-3348
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BRADLEY KITTREDGE
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Credential |
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Telephone | 415-360-3348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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