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General NPI Number Information
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NPI Number | 1386601953
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Entity Type | Individual
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Provider Name | STEVEN ROSS BRANT M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 07/23/2021
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Provider Practice Location Address
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Address Line | 1 ROBERT WOOD JOHNSON PL
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901-1928
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Country | US
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Telephone | 732-828-3000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 64264
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City | BALTIMORE
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State | MD
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Zip | 21264-4264
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Country | US
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Telephone | 410-955-2248
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | D38677
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 25MA10198400
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License Number State | NJ
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