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General NPI Number Information
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NPI Number | 1942600697
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Entity Type | Organization
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Legal Business Name | BRIGHTSTAR CARE OF ESCONDIDO AND SAN MARCOS
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Dates
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Enumeration Date | 08/31/2014
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Last Update Date | 08/31/2014
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Provider Practice Location Address
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Address Line | 639 N ESCONDIDO BLVD
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City | ESCONDIDO
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State | CA
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Zip | 92025-1701
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Country | US
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Telephone | 760-738-1926
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Fax | 760-738-1928
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Provider Business Mailing Address
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Address Line | 639 N ESCONDIDO BLVD
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City | ESCONDIDO
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State | CA
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Zip | 92025-1701
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Country | US
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Telephone | 760-738-1926
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Fax | 760-738-1928
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Authorized Official
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Title or Position | BRANCH MANAGER, OWNER
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Name | SHERYL ANN KLEARMAN
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Credential |
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Telephone | 760-738-1926
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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 | 550001901
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License Number State | CA
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