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General NPI Number Information
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NPI Number | 1447539663
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Entity Type | Individual
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Provider Name | BRIAN CHAD BRILL JR. D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/04/2011
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 132 KIETA WAY
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City | RADCLIFF
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State | KY
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Zip | 40160-2105
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Country | US
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Telephone | 270-748-1110
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Fax | 270-220-0531
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Provider Business Mailing Address
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Address Line | 132 KIETA WAY
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City | RADCLIFF
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State | KY
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Zip | 40160-2105
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Country | US
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Telephone | 270-748-1110
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Fax | 270-220-0531
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 03732
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 03732
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License Number State | KY
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