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General NPI Number Information
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NPI Number | 1700677739
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Entity Type | Organization
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Legal Business Name | BRIGHTCONNECTIONS CARE LLC
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Dates
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Enumeration Date | 05/17/2025
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Last Update Date | 05/17/2025
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Provider Practice Location Address
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Address Line | 15108 SE 179TH ST APT 3D
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City | RENTON
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State | WA
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Zip | 98058-9092
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Country | US
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Telephone | 801-989-2323
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Fax |
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Provider Business Mailing Address
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Address Line | 15108 SE 179TH ST APT 3D
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City | RENTON
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State | WA
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Zip | 98058-9092
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Country | US
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Telephone | 801-989-2323
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Fax |
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Authorized Official
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Title or Position | OWNER / CARE COORDINATOR
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Name | SUMAYA MAHAMUD
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Credential | CMA
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Telephone | 801-989-2323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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