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General NPI Number Information
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NPI Number | 1124189931
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Entity Type | Individual
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Provider Name | BRIAN P. FAHEY DO
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Gender | Male
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 555 METRO PL N
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City | DUBLIN
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State | OH
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Zip | 43017-5362
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Country | US
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Telephone | 614-410-9580
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Fax | 614-844-4589
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Provider Business Mailing Address
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Address Line | 700 ACKERMAN RD STE 2120
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City | COLUMBUS
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State | OH
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Zip | 43202-1559
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Country | US
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Telephone | 614-410-9580
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Fax | 614-844-4589
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 34004675
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License Number State | OH
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