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General NPI Number Information
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NPI Number | 1437631975
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Entity Type | Individual
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Provider Name | MICHAEL BRIAN HOLBROOK MD, MBA
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Gender | Male
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Dates
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Enumeration Date | 08/31/2018
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Last Update Date | 08/08/2023
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Provider Practice Location Address
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Address Line | 1 WYOMING ST
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City | DAYTON
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State | OH
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Zip | 45409-2722
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Country | US
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Telephone | 937-208-3356
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Fax |
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Provider Business Mailing Address
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Address Line | 825 GREENVILLE AVE
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City | CINCINNATI
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State | OH
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Zip | 45246-4609
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Country | US
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Telephone | 513-600-9851
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35.144563
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License Number State | OH
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