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General NPI Number Information
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NPI Number | 1346257417
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Entity Type | Individual
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Provider Name | MICHAEL M BRAND MD
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 04/12/2011
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Provider Practice Location Address
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Address Line | 5 FRANKLIN AVENUE ROOM 307
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City | BELLEVILLE
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State | NJ
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Zip | 07109
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Country | US
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Telephone | 973-751-5644
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Fax | 973-751-5678
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Provider Business Mailing Address
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Address Line | 5 FRANKLIN AVENUE ROOM 307
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City | BELLEVILLE
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State | NJ
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Zip | 07109
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Country | US
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Telephone | 973-751-5644
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Fax | 973-751-5678
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MA22361
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License Number State | NJ
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