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General NPI Number Information
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NPI Number | 1841515830
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Entity Type | Organization
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Legal Business Name | BRIGHTSTAR LIFECARE
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Dates
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Enumeration Date | 04/01/2010
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Last Update Date | 04/01/2010
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Provider Practice Location Address
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Address Line | 245 CENTURY CIR SUITE 204
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City | LOUISVILLE
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State | CO
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Zip | 80027-1696
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Country | US
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Telephone | 303-665-2222
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Fax | 720-890-7797
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Provider Business Mailing Address
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Address Line | 245 CENTURY CIR SUITE 204
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City | LOUISVILLE
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State | CO
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Zip | 80027-1696
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Country | US
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Telephone | 303-665-2222
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Fax | 720-890-7797
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Authorized Official
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Title or Position | OWNER
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Name | TERRI BARRY
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Credential |
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Telephone | 303-665-2222
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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 | 04M156
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License Number State | CO
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