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General NPI Number Information
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NPI Number | 1710134770
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Entity Type | Organization
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Legal Business Name | BRIGHT HEART HEALTHCARE STAFFING
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Dates
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Enumeration Date | 08/21/2008
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Last Update Date | 08/21/2008
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Provider Practice Location Address
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Address Line | 2504 RAREFORD RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28305
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Country | US
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Telephone | 910-438-0727
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Fax |
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Provider Business Mailing Address
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Address Line | 2504 RAREFORD RD
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City | FAYETTEVILLE
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State | NC
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Zip | 28305
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Country | US
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Telephone | 910-438-0727
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | GIDEON IKECHUKWU OCHIABUTO
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Credential |
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Telephone | 615-554-0518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 29909
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License Number State | NC
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