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General NPI Number Information
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NPI Number | 1174805980
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Entity Type | Organization
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Legal Business Name | JAMES H BRILLHART MD PC
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 11/08/2013
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Provider Practice Location Address
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Address Line | 8040 CLEARVISTA PARKWAY SUITE 520
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-5604
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Country | US
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Telephone | 317-621-2400
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Fax | 317-621-5266
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Provider Business Mailing Address
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Address Line | 8040 CLEARVISTA PARKWAY SUITE 520
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-5604
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Country | US
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Telephone | 317-621-2400
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Fax | 317-621-5266
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Authorized Official
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Title or Position | OWNER
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Name | JAMES H BRILLHART
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Credential | MD
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Telephone | 317-621-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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