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General NPI Number Information
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NPI Number | 1255599791
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Entity Type | Individual
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Provider Name | ADAM ROSS BRENNER MD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2008
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Last Update Date | 12/03/2018
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Provider Practice Location Address
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Address Line | FIRST AVENUE AT 16TH STREET
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City | NEW YORK
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State | NY
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Zip | 10003-1544
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Country | US
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Telephone | 646-605-8188
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Fax |
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Provider Business Mailing Address
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Address Line | 201 E 17TH ST 4D
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City | NEW YORK
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State | NY
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Zip | 10003-3607
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Country | US
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Telephone | 631-379-7047
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 274729
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 274729
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License Number State | NY
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