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General NPI Number Information
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NPI Number | 1457610701
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Entity Type | Organization
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Legal Business Name | BRIGHT HOMES LLC
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Dates
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Enumeration Date | 05/08/2012
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Last Update Date | 05/08/2012
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Provider Practice Location Address
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Address Line | 7976 QUAKER RIDGE WAY
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City | SACRAMENTO
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State | CA
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Zip | 95829-8032
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Country | US
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Telephone | 916-879-4791
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Fax | 916-682-5423
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Provider Business Mailing Address
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Address Line | 7976 QUAKER RIDGE WAY
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City | SACRAMENTO
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State | CA
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Zip | 95829-8032
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Country | US
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Telephone | 916-879-4791
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Fax | 916-682-5423
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Authorized Official
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Title or Position | LICENSEE/MANAGING MEMBER
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Name | GURDEEP SIDHU
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Credential |
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Telephone | 916-879-4791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 347004066
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License Number State | CA
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