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General NPI Number Information
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NPI Number | 1427899186
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Entity Type | Organization
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Legal Business Name | BRIGHT GAL INVESTMENTS LLC
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 625 55TH ST
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City | KENOSHA
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State | WI
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Zip | 53140-3731
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Country | US
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Telephone | 262-748-8644
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Fax |
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Provider Business Mailing Address
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Address Line | 6412 94TH CT
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City | KENOSHA
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State | WI
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Zip | 53142-8240
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Country | US
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Telephone | 262-748-8644
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIANA RAZAA
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Credential |
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Telephone | 262-748-8644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 332BD1200X
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Taxonomy Name | Dialysis Equipment & Supplies (DME)
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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 | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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