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General NPI Number Information
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NPI Number | 1497041123
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Entity Type | Organization
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Legal Business Name | JAEG BRIGHT MEDICAL SERVICES, INC.
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 16000 PARK TEN PL STE 304
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City | HOUSTON
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State | TX
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Zip | 77084-7297
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Country | US
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Telephone | 713-779-7042
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Fax | 713-779-7093
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Provider Business Mailing Address
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Address Line | 16000 PARK TEN PL STE 304
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City | HOUSTON
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State | TX
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Zip | 77084-7297
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Country | US
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Telephone | 713-779-7042
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Fax | 713-779-7093
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ARCHIBONG NYANIBO
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Credential |
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Telephone | 713-779-7042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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