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General NPI Number Information
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NPI Number | 1235101775
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Entity Type | Individual
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Provider Name | BRIAN L FAIRBROTHER MS, ATC, CSCS
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Gender | Male
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 01/08/2015
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Provider Practice Location Address
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Address Line | 1 CIVIC CENTER PLZ
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City | HARTFORD
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State | CT
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Zip | 06103-1504
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Country | US
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Telephone | 860-967-0478
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CIVIC CENTER PLZ
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City | HARTFORD
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State | CT
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Zip | 06103-1504
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Country | US
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Telephone | 860-967-0478
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 000388
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License Number State | CT
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