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General NPI Number Information
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NPI Number | 1346130093
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Entity Type | Individual
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Provider Name | BRIAN WILLIAM LINK
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Gender | Male
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Dates
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Enumeration Date | 07/05/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 83 W MILLER ST
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City | ORLANDO
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State | FL
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Zip | 32806-2031
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Country | US
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Telephone | 321-841-5274
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Fax |
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Provider Business Mailing Address
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Address Line | 8121 STROM PARK DR
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City | VIERA
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State | FL
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Zip | 32940-7079
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Country | US
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Telephone | 661-208-5600
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | RN9577152
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License Number State | FL
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