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General NPI Number Information
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NPI Number | 1972277416
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Entity Type | Organization
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Legal Business Name | BRIGHT1'S PATH INC.
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Dates
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Enumeration Date | 08/08/2021
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Last Update Date | 08/09/2021
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Provider Practice Location Address
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Address Line | 1333 REDFORD DR SE
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City | ATLANTA
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State | GA
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Zip | 30315-8634
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Country | US
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Telephone | 678-605-9994
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Fax |
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Provider Business Mailing Address
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Address Line | 1333 REDFORD DR SE
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City | ATLANTA
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State | GA
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Zip | 30315-8634
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Country | US
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Telephone | 678-605-9994
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Fax |
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Authorized Official
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Title or Position | VICE-PRESIDENT/CFO/CTO
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Name | RACEAN ALMARCO FORD
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Credential |
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Telephone | 678-605-9994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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