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General NPI Number Information
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NPI Number | 1245361252
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Entity Type | Individual
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Provider Name | BRIAN WINFIELD HENRY D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 05/05/2014
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Provider Practice Location Address
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Address Line | 500 VONDERBURG DR SUITE 306 EAST
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City | BRANDON
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State | FL
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Zip | 33511-5964
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Country | US
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Telephone | 813-704-2222
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Fax | 813-327-3189
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Provider Business Mailing Address
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Address Line | 13194 US HIGHWAY 301 S STE182
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City | RIVERVIEW
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State | FL
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Zip | 33578-7410
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Country | US
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Telephone | 813-704-2222
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH8908
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License Number State | FL
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