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General NPI Number Information
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NPI Number | 1750444774
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Entity Type | Organization
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Legal Business Name | A BRIGHTER VISION L L C
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 03/05/2014
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Provider Practice Location Address
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Address Line | 11004 E US HIGHWAY 40 SUITE 130
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City | INDEPENDENCE
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State | MO
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Zip | 64055-6023
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Country | US
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Telephone | 816-358-5226
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Fax | 816-358-1009
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Provider Business Mailing Address
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Address Line | 11004 E US HIGHWAY 40 SUITE 130
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City | INDEPENDENCE
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State | MO
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Zip | 64055-6023
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Country | US
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Telephone | 816-358-5226
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Fax | 816-358-1009
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. CYNTHIA LEE JONES
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Credential |
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Telephone | 816-517-2491
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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 | 8001562
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License Number State | MO
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