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General NPI Number Information
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NPI Number | 1689158735
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Entity Type | Organization
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Legal Business Name | BRIGHT PATH PARTNERS LLC
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Dates
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Enumeration Date | 09/24/2018
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Last Update Date | 09/24/2018
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Provider Practice Location Address
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Address Line | 610 OLD YORK ROAD SUITE 400
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City | JENKINTOWN
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State | PA
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Zip | 19046-1904
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Country | US
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Telephone | 445-444-4176
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Fax |
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Provider Business Mailing Address
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Address Line | 45 E CITY AVE
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City | BALA CYNWYD
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State | PA
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Zip | 19004-2421
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Country | US
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Telephone | 267-303-7851
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NICOLE MCGRUDER
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Credential |
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Telephone | 267-303-7851
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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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