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General NPI Number Information
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NPI Number | 1649997164
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Entity Type | Organization
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Legal Business Name | BRIGHTPATH PEDIATRICS
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Dates
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Enumeration Date | 10/25/2022
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 8990 KIRBY DR STE 220
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City | HOUSTON
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State | TX
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Zip | 77054-2853
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Country | US
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Telephone | 832-205-8799
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Fax |
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Provider Business Mailing Address
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Address Line | 8990 KIRBY DR STE 220
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City | HOUSTON
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State | TX
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Zip | 77054-2853
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST
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Name | SABRINA LEE
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Credential | MS, CCC
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Telephone | 832-205-8799
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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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