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General NPI Number Information
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NPI Number | 1447297353
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Entity Type | Individual
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Provider Name | BRIAN GILFEATHER MD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 06/15/2011
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Provider Practice Location Address
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Address Line | 5455 ALMIRA DR NE
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City | BREMERTON
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State | WA
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Zip | 98311-8330
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Country | US
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Telephone | 360-535-5400
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Fax | 360-783-1451
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Provider Business Mailing Address
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Address Line | 9662 PHILLIPS RD SE
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City | PORT ORCHARD
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State | WA
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Zip | 98367-8725
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Country | US
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Telephone | 360-874-0719
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Fax | 360-874-0719
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD041013E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD60164245
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License Number State | WA
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