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General NPI Number Information
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NPI Number | 1437579588
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Entity Type | Organization
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Legal Business Name | ALAN BRENNER KIMELMAN MD PC
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Dates
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Enumeration Date | 04/16/2014
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Last Update Date | 05/01/2015
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Provider Practice Location Address
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Address Line | 1748 NOVATO BLVD STE 100
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City | NOVATO
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State | CA
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Zip | 94947-7855
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Country | US
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Telephone | 415-408-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 1748 NOVATO BLVD STE 100
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City | NOVATO
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State | CA
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Zip | 94947-7855
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Country | US
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Telephone | 415-408-3500
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Fax |
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Authorized Official
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Title or Position | NURSE/MANAGER
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Name | MS. NOREEN BURNS
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Credential |
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Telephone | 415-408-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | G49358
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License Number State | CA
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