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General NPI Number Information
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NPI Number | 1952827396
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Entity Type | Organization
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Legal Business Name | BRIGHTSTAR CARE NCSD
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Dates
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Enumeration Date | 08/17/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 8555 AERO DR STE 203
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City | SAN DIEGO
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State | CA
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Zip | 92123-1745
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Country | US
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Telephone | 858-357-4026
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Fax |
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Provider Business Mailing Address
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Address Line | 8555 AERO DR STE 203
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City | SAN DIEGO
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State | CA
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Zip | 92123-1745
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Country | US
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Telephone | 858-357-4026
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | VU MUTH
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Credential |
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Telephone | 858-357-4026
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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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