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General NPI Number Information
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NPI Number | 1477636009
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Entity Type | Individual
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Provider Name | BERYL ANN BRIGHAM ACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 08/03/2025
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Provider Practice Location Address
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Address Line | 1339 EAST ST
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City | GRAHAM
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State | TX
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Zip | 76450-4228
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Country | US
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Telephone | 940-521-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 340 COUNTY ROAD 3336
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City | PARADISE
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State | TX
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Zip | 76073-2416
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Country | US
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Telephone | 940-399-9925
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP115429
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License Number State | TX
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