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General NPI Number Information
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NPI Number | 1477809580
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Entity Type | Organization
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Legal Business Name | BRIGHT PEDIATRICS & ECHOCARDIOGRAPHY INC
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Dates
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Enumeration Date | 07/25/2012
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1922 S COURT ST
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City | VISALIA
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State | CA
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Zip | 93277-5426
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Country | US
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Telephone | 559-625-0888
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Fax | 559-625-0688
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Provider Business Mailing Address
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Address Line | 1922 S COURT ST
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City | VISALIA
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State | CA
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Zip | 93277-5426
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Country | US
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Telephone | 559-625-0888
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Fax | 559-625-0688
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Authorized Official
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Title or Position | CEO
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Name | HUIYING GU
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Credential | MD
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Telephone | 559-625-0888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246XS1301X
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Taxonomy Name | Sonography Specialist/Technologist Cardiovascular
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License Number | A89633
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A89633
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License Number State | CA
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