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General NPI Number Information
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NPI Number | 1144286311
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Entity Type | Individual
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Provider Name | ADAM W. BRAZUS M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 13250 HAZEL DELL PKWY STE 101
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City | CARMEL
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State | IN
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Zip | 46033-8527
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Country | US
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Telephone | 317-872-1121
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Fax |
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Provider Business Mailing Address
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Address Line | 13250 HAZEL DELL PKWY STE 101
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City | CARMEL
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State | IN
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Zip | 46033-8527
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Country | US
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Telephone | 317-872-1121
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Fax | 317-810-1379
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 01041551
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 01041551
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License Number State | IN
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