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General NPI Number Information
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NPI Number | 1720959265
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Entity Type | Organization
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Legal Business Name | BRIGHT LEAF INC
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 11584 COMMUNITY CENTER DR APT 66
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City | NORTHGLENN
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State | CO
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Zip | 80233-1008
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Country | US
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Telephone | 303-641-8754
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Fax |
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Provider Business Mailing Address
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Address Line | 11584 COMMUNITY CENTER DR APT 66
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City | NORTHGLENN
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State | CO
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Zip | 80233-1008
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Country | US
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Telephone | 303-641-8754
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | STEVEN K OLGUIN
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Credential |
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Telephone | 303-641-8754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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