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General NPI Number Information
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NPI Number | 1386832335
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Entity Type | Organization
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Legal Business Name | BRIANCURTIS MEDICAL INC
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 10/03/2007
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Provider Practice Location Address
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Address Line | 4201 LONG BEACH BLVD STE 3405
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City | LONG BEACH
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State | CA
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Zip | 90807-2007
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Country | US
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Telephone | 562-426-1222
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Fax | 562-426-2333
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Provider Business Mailing Address
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Address Line | 4201 LONG BEACH BLVD STE 405
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City | LONG BEACH
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State | CA
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Zip | 90807-2022
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Country | US
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Telephone | 562-426-1222
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Fax | 562-426-2333
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Authorized Official
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Title or Position | EXECUTIVE/CLINICAL DIRECTOR
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Name | MRS. JOY NGOZI OCHOIFEOMA
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Credential |
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Telephone | 562-426-1222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 499996
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License Number State | CA
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