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General NPI Number Information
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NPI Number | 1154873610
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Entity Type | Organization
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Legal Business Name | BRYAN M PEREIRA MD LLC
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Dates
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Enumeration Date | 11/01/2016
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Last Update Date | 11/01/2016
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Provider Practice Location Address
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Address Line | 9141 GRANT ST STE 125
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City | THORNTON
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State | CO
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Zip | 80229-4367
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Country | US
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Telephone | 877-961-4402
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6532
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City | DENVER
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State | CO
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Zip | 80206-0532
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Country | US
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Telephone | 877-961-4402
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | STEPHANIE A HUSS
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Credential | CPB
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Telephone | 877-961-4402
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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 |
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License Number State |
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