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General NPI Number Information
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NPI Number | 1407596737
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Entity Type | Organization
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Legal Business Name | BRIO CLINICAL INC
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Dates
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Enumeration Date | 04/01/2022
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Last Update Date | 04/01/2022
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Provider Practice Location Address
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Address Line | 4528 W CRAIG RD STE 110
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-2505
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Country | US
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Telephone | 951-465-3500
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Fax | 702-850-2377
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Provider Business Mailing Address
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Address Line | 4528 W CRAIG RD STE 110
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89032-2505
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Country | US
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Telephone | 951-465-3500
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Fax | 702-850-2377
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Authorized Official
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Title or Position | CFO
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Name | JUDY THAO
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Credential |
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Telephone | 916-798-0654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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