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General NPI Number Information
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NPI Number | 1063518272
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Entity Type | Organization
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Legal Business Name | BRIAN COST, M.D., P.C.
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 01/24/2021
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Provider Practice Location Address
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Address Line | 4704 WHITESBURG DR SW STE 201
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City | HUNTSVILLE
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State | AL
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Zip | 35802-1681
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Country | US
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Telephone | 256-489-5215
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Fax | 256-489-5700
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Provider Business Mailing Address
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Address Line | 4704 WHITESBURG DR SW STE 201
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City | HUNTSVILLE
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State | AL
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Zip | 35802-1681
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Country | US
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Telephone | 256-489-5215
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Fax | 256-489-5700
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. BRIAN A COST
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Credential | MD
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Telephone | 256-489-5215
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 94133
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License Number State | AL
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