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General NPI Number Information
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NPI Number | 1568222735
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Entity Type | Organization
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Legal Business Name | BARIGHT SURGERY PLLC
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Dates
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Enumeration Date | 03/22/2024
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Last Update Date | 03/22/2024
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Provider Practice Location Address
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Address Line | 3335 S CRATER RD STE 700
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City | PETERSBURG
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State | VA
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Zip | 23805-9396
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Country | US
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Telephone | 804-765-5445
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Fax |
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Provider Business Mailing Address
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Address Line | 5801 BRUSHY MEADOWS DR
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City | FUQUAY-VARINA
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State | NC
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Zip | 27526-5504
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Country | US
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Telephone | 608-475-3954
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA MARIE BARIGHT
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Credential | DO
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Telephone | 608-475-3954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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