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General NPI Number Information
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NPI Number | 1104218858
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Entity Type | Organization
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Legal Business Name | BRBM, LLC
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Dates
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Enumeration Date | 03/03/2015
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Last Update Date | 03/03/2015
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Provider Practice Location Address
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Address Line | 2001 MEADOW TREE CT
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City | COOKSVILLE
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State | MD
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Zip | 21723-9500
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Country | US
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Telephone | 410-834-0041
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 275
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City | GLENWOOD
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State | MD
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Zip | 21738-0275
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRIAN WRITT
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Credential |
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Telephone | 410-834-0041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246W00000X
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Taxonomy Name | Cardiology Technician
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License Number |
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License Number State |
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