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General NPI Number Information
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NPI Number | 1619637857
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Entity Type | Organization
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Legal Business Name | BRIGHTER TEXAS LLC
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Dates
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Enumeration Date | 12/29/2021
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Last Update Date | 01/05/2022
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Provider Practice Location Address
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Address Line | 2100 JAY AVE
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City | MCALLEN
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State | TX
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Zip | 78504-3921
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Country | US
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Telephone | 956-331-5955
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 JAY AVE
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City | MCALLEN
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State | TX
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Zip | 78504-3921
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Country | US
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Telephone | 956-331-5955
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | VERONICA A GAITAN
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Credential | NUTRITIONIST, IBCLC
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Telephone | 956-331-5955
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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