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General NPI Number Information
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NPI Number | 1134318009
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Entity Type | Individual
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Provider Name | BRIAN CHRISTOPHER DUFFY DPT, OCS
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Gender | Male
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Dates
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Enumeration Date | 10/17/2007
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Last Update Date | 09/13/2016
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Provider Practice Location Address
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Address Line | 3657 CORTEZ RD W STE 110 SUITE 110
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City | BRADENTON
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State | FL
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Zip | 34210-3171
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Country | US
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Telephone | 941-739-7828
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Fax | 941-739-7838
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Provider Business Mailing Address
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Address Line | 3657 CORTEZ RD W SUITE 110
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City | BRADENTON
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State | FL
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Zip | 34210-3106
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Country | US
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Telephone | 941-739-7828
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Fax | 941-739-7838
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 002667
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT013580
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT28047
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License Number State | FL
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