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General NPI Number Information
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NPI Number | 1205953908
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Entity Type | Individual
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Provider Name | BRENT MATTHEW MAY PA
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Gender | Male
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 152 DAWKINS DR
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City | LEWISBURG
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State | WV
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Zip | 24901-9302
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Country | US
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Telephone | 304-645-0870
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Fax | 304-645-0970
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Provider Business Mailing Address
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Address Line | 2000 HEALTH PARK DR FL HP2
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City | BRENTWOOD
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State | TN
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Zip | 37027-4692
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Country | US
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Telephone | 615-373-7600
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Fax | 877-767-2310
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | WV461
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110001962
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License Number State | VA
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