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General NPI Number Information
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NPI Number | 1386045706
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Entity Type | Individual
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Provider Name | BRUCE R. BRILLIANTINE D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/05/2014
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Last Update Date | 09/05/2014
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Provider Practice Location Address
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Address Line | 2 PRINCESS ROAD SUIET #2
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648
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Country | US
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Telephone | 609-883-2222
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Fax | 609-324-9400
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Provider Business Mailing Address
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Address Line | P.O. BOX 352
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City | CROSSWICKS
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State | NJ
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Zip | 08515-9685
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Country | US
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Telephone | 609-883-2222
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Fax | 609-324-9400
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 38MC00173600
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License Number State | NJ
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