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General NPI Number Information
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NPI Number | 1073873675
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Entity Type | Individual
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Provider Name | JOSEPH PATRICK BRINDISE D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/17/2012
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Last Update Date | 11/20/2018
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Provider Practice Location Address
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Address Line | 500 W GOLF RD STE 101
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City | SCHAUMBURG
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State | IL
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Zip | 60195-3503
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Country | US
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Telephone | 847-303-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 500 W GOLF RD STE 101
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City | SCHAUMBURG
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State | IL
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Zip | 60195-3503
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Country | US
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Telephone | 847-303-1200
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | R2818
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 70077-21
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 036.144742
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License Number State | IL
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