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General NPI Number Information
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NPI Number | 1699669549
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Entity Type | Organization
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Legal Business Name | BRIGHT PSYCH
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 1122 LADY ST OFC 221
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City | COLUMBIA
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State | SC
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Zip | 29201-3488
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Country | US
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Telephone | 803-552-9404
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Fax | 803-961-6365
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Provider Business Mailing Address
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Address Line | 1122 LADY ST OFC 221
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City | COLUMBIA
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State | SC
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Zip | 29201-3488
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Country | US
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Telephone | 803-552-9404
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Fax | 803-961-6365
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Authorized Official
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Title or Position | OWNER
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Name | DR. DUMETZ R SCOTT
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Credential | MD
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Telephone | 803-397-4813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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