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NPI 1457517500

NPI 1457517500 : KALA HUDSON BRIGHT : FORT WORTH, TX

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General NPI Number Information
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    NPI Number           |    1457517500
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    Entity Type          |    Individual 
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    Provider Name        |    KALA HUDSON BRIGHT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/29/2008
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    Last Update Date     |    01/14/2025
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Provider Practice Location Address
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    Address Line         |    750 8TH AVE FL 6 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76104-2515
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    Country              |    US
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    Telephone            |    682-303-0376
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    Fax                  |    682-303-0377
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Provider Business Mailing Address
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    Address Line         |    PO BOX 99371 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76199-0371
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    Country              |    US
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    Telephone            |    682-885-6163
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    Fax                  |    682-885-6121
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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        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    AP117128
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    753734
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    AP117128
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    License Number State |    TX
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