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General NPI Number Information
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NPI Number | 1104843929
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Entity Type | Individual
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Provider Name | BRIAN NEIL MINNICH PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 07/02/2009
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Provider Practice Location Address
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Address Line | 1000 LOCUST ST
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City | RENO
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State | NV
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Zip | 89502-2597
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Country | US
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Telephone | 775-786-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 2385 AZTEC CT
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City | RENO
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State | NV
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Zip | 89511-5659
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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 |
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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 | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | S011242
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | S011242
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License Number State | AZ
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