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General NPI Number Information
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NPI Number | 1205944774
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Entity Type | Organization
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Legal Business Name | BRICHTA & BRICHTA PC
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Dates
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Enumeration Date | 08/26/2006
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 43 S HOWELL ST
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City | HILLSDALE
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State | MI
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Zip | 49242-1851
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Country | US
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Telephone | 517-437-3365
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Fax |
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Provider Business Mailing Address
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Address Line | 43 S HOWELL ST
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City | HILLSDALE
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State | MI
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Zip | 49242-1851
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Country | US
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Telephone | 517-437-3365
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Fax | 517-437-3656
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Authorized Official
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Title or Position | OPTOMETRIST-OWNER-SECRETARY
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Name | DR. ELAINE RILEY BRICHTA
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Credential | OD
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Telephone | 517-437-3365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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