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General NPI Number Information
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NPI Number | 1073918637
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Entity Type | Individual
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Provider Name | BRIAN COURTNEY FNP-C
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Gender | Male
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Dates
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Enumeration Date | 10/24/2014
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 8201 GOLF COURSE RD NW STE A387120
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City | ALBUQUERQUE
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State | NM
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Zip | 87120-5842
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Country | US
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Telephone | 505-800-7070
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 S CLEARVIEW AVE SUITE 100
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City | MESA
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State | AZ
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Zip | 85209-3378
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Country | US
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Telephone | 480-988-9108
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Fax | 480-813-4460
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP7374
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License Number State | AZ
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