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General NPI Number Information
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NPI Number | 1952126484
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Entity Type | Organization
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Legal Business Name | BRIGHTVIEW HOME CARE LLC
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 50 OLD VILLAGE RD STE 222
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City | COLUMBUS
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State | OH
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Zip | 43228-1583
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Country | US
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Telephone | 614-512-3643
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Fax | 614-756-5282
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Provider Business Mailing Address
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Address Line | 50 OLD VILLAGE RD STE 222
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City | COLUMBUS
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State | OH
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Zip | 43228-1583
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Country | US
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Telephone | 614-512-3643
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Fax | 614-756-5282
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Authorized Official
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Title or Position | MANAGER
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Name | YUSUF A MOHAMED
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Credential |
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Telephone | 614-260-1657
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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 |
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License Number State |
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