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General NPI Number Information
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NPI Number | 1528762507
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Entity Type | Organization
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Legal Business Name | BRIGHT STAR FAMILY CLINIC INC
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 7505 NEW HAMPSHIRE AVE STE 308
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City | TAKOMA PARK
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State | MD
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Zip | 20912-6972
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Country | US
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Telephone | 240-847-7165
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Fax | 240-641-8970
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Provider Business Mailing Address
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Address Line | 7505 NEW HAMPSHIRE AVE STE 308
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City | TAKOMA PARK
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State | MD
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Zip | 20912-6972
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Country | US
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Telephone | 240-847-7165
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Fax | 240-641-8970
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. LOVINNA ONYEJIAKA
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Credential | DNP,MSN, FNP-BC
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Telephone | 240-847-7165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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