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General NPI Number Information
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NPI Number | 1770138554
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Entity Type | Organization
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Legal Business Name | BRIGHT LIGHT CONSULTING, LLC
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Dates
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Enumeration Date | 08/07/2019
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 13941 ROCKLAND VILLAGE DR APT 202
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City | CHANTILLY
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State | VA
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Zip | 20151-4525
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Country | US
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Telephone | 703-577-1681
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Fax |
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Provider Business Mailing Address
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Address Line | 13941 ROCKLAND VILLAGE DR APT 202
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City | CHANTILLY
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State | VA
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Zip | 20151-4525
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Country | US
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Telephone | 703-577-1681
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. JAHIRA JAMES
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Credential |
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Telephone | 703-577-1681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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