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General NPI Number Information
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NPI Number | 1679420210
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Entity Type | Organization
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Legal Business Name | BRIGHTMANE ENTERPRISES LLC
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 1040 LINCOLN AVE
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City | SAN JOSE
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State | CA
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Zip | 95125-3150
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Country | US
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Telephone | 650-547-4826
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Fax |
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Provider Business Mailing Address
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Address Line | 440 N BARRANCA AVE # 5838
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City | COVINA
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State | CA
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Zip | 91723-1722
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Country | US
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Telephone | 650-547-4826
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Fax | 650-887-3206
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | ALISHA ALLEN
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Credential | LCSW
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Telephone | 650-547-4826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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