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General NPI Number Information
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NPI Number | 1285798439
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Entity Type | Individual
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Provider Name | DIANE E BRILL P.A.
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Gender | Female
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 247 BLUFFS AVE BLDG 1
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City | ELKO
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State | NV
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Zip | 89801-2455
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Country | US
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Telephone | 775-753-1049
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Fax | 775-777-8494
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Provider Business Mailing Address
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Address Line | 40 BURTON HILLS BLVD SUITE 200
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City | NASHVILLE
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State | TN
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Zip | 37215-6155
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Country | US
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Telephone | 615-565-1733
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Fax | 615-296-0151
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA913
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License Number State | NV
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