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General NPI Number Information
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NPI Number | 1619369584
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Entity Type | Organization
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Legal Business Name | BRIGHTPOINT HEALTH
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Dates
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Enumeration Date | 03/02/2015
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Last Update Date | 02/15/2017
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Provider Practice Location Address
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Address Line | 1543-1545 INWOOD AVENUE, BRONX ADHCP
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City | BRONX
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State | NY
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Zip | 10452-2001
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Country | US
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Telephone | 718-681-8700
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Fax | 646-380-1322
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Provider Business Mailing Address
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Address Line | 248 W 35TH ST 8TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10001-2505
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Country | US
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Telephone | 718-681-8700
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Fax | 646-380-1322
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Authorized Official
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Title or Position | CHIEF FISCAL OFFICER
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Name | MR. EVAN ZUCKERMAN
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Credential |
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Telephone | 718-681-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 7000277R
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License Number State | NY
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