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General NPI Number Information
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NPI Number | 1407296932
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Entity Type | Individual
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Provider Name | BRANDON DAVID BRIGHT LAC
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Gender | Male
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Dates
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Enumeration Date | 06/28/2013
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 6324 E PACIFIC COAST HWY STE C
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City | LONG BEACH
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State | CA
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Zip | 90803-4841
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Country | US
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Telephone | 562-493-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 434 LENWOOD DR
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City | COSTA MESA
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State | CA
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Zip | 92627-3215
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Country | US
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Telephone | 714-206-7883
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 15483
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License Number State | CA
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