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General NPI Number Information
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NPI Number | 1215007018
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Entity Type | Organization
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Legal Business Name | BRIMHALL EYE CONSULTANTS, LLC
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3821 ROBIN KNOT CT
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89084-2613
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Country | US
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Telephone | 702-658-8826
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Fax |
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Provider Business Mailing Address
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Address Line | 3821 ROBIN KNOT CT
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89084-2613
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Country | US
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Telephone | 702-658-8826
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. BRETT D. BRIMHALL
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Credential | M.D.
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Telephone | 702-677-6490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 11701
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License Number State | NV
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