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General NPI Number Information
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NPI Number | 1962368746
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Entity Type | Organization
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Legal Business Name | BRIGHTPATH CLINICAL CARE LLC
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Dates
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Enumeration Date | 12/24/2025
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 3910 PECOS MCLEOD INTERCONNECT C-170
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City | LAS VEGAS
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State | NV
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Zip | 89121
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Country | US
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Telephone | 725-735-5278
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Fax | 725-735-5278
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Provider Business Mailing Address
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Address Line | 3910 PECOS MCLEOD INTERCONNECT C-170
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City | LAS VEGAS
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State | NV
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Zip | 89121
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Country | US
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Telephone | 725-735-5278
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Fax | 725-735-5278
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Authorized Official
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Title or Position | OWNER
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Name | MAHMUD SHEIKH
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Credential |
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Telephone | 725-735-5278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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