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General NPI Number Information
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NPI Number | 1285757765
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Entity Type | Individual
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Provider Name | BRIAN CHRISTOPHER ATKINS D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 12/05/2014
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Provider Practice Location Address
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Address Line | 200 N MADISON ST
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City | MARSHALL
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State | MI
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Zip | 49068-1143
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Country | US
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Telephone | 268-789-4271
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Fax |
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Provider Business Mailing Address
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Address Line | 79 COUNTRY HLS
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City | MARSHALL
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State | MI
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Zip | 49068-9675
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Country | US
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Telephone | 269-589-9109
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 5101015678
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License Number State | MI
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