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General NPI Number Information
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NPI Number | 1184369498
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Entity Type | Individual
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Provider Name | BRIAN ENGELHARDT
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Gender | Male
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Dates
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Enumeration Date | 05/02/2022
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 8110 MIDLOTHIAN TPKE
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-5100
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Country | US
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Telephone | 180-432-0816
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Fax |
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Provider Business Mailing Address
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Address Line | 515 N 24TH ST APT A
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City | RICHMOND
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State | VA
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Zip | 23223-7213
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Country | US
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Telephone | 720-341-7859
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Fax |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101284426
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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