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General NPI Number Information
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NPI Number | 1407988371
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Entity Type | Organization
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Legal Business Name | DR BRIAN BRENNAN DC PA
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 12/17/2007
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Provider Practice Location Address
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Address Line | 111 E GARDEN ST
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City | PENSACOLA
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State | FL
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Zip | 32502-5623
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Country | US
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Telephone | 850-429-9911
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Fax | 850-429-9933
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Provider Business Mailing Address
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Address Line | 111 E GARDEN ST
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City | PENSACOLA
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State | FL
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Zip | 32502-5623
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Country | US
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Telephone | 850-429-9911
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Fax | 850-429-9933
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Authorized Official
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Title or Position | OWNER PROVIDER
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Name | DR. BRIAN P BRENNAN I
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Credential | DC
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Telephone | 850-429-9911
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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 | CH5559
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License Number State | FL
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