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General NPI Number Information
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NPI Number | 1235280470
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Entity Type | Individual
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Provider Name | BRETT J HALLORAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 943S BENEVA RD 306
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City | SARASOTA
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State | FL
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Zip | 34232-2473
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Country | US
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Telephone | 941-362-8644
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Fax | 941-954-4440
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Provider Business Mailing Address
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Address Line | 943S BENEVA RD 306
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City | SARASOTA
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State | FL
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Zip | 34232-2473
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Country | US
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Telephone | 941-362-8644
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Fax | 941-954-4440
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036125084
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 058417
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 276152
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | C131872
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME124342
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C131872
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License Number State | CA
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