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General NPI Number Information
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NPI Number | 1164501367
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Entity Type | Individual
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Provider Name | BRIAN E PRELL PT
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Gender | Male
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 3651 MARS HILL ROAD SUITE 2900
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City | WATKINSVILLE
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State | GA
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Zip | 30677-5985
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Country | US
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Telephone | 678-936-0273
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Fax | 706-395-8759
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Provider Business Mailing Address
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Address Line | 2230 HARPERFIELD TER
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City | BOGART
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State | GA
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Zip | 30622-2512
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Country | US
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Telephone | 678-316-3274
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Fax | 706-395-8759
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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 |
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License Number State |
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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 | PT007432
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License Number State | GA
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