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General NPI Number Information
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NPI Number | 1447582150
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Entity Type | Individual
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Provider Name | BRIAN D DUBY DC
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Gender | Male
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Dates
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Enumeration Date | 02/04/2010
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 1125 SE MADISON ST STE 100A
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City | PORTLAND
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State | OR
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Zip | 97214-3600
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Country | US
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Telephone | 503-935-9488
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Fax | 971-260-4989
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Provider Business Mailing Address
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Address Line | 1125 SE MADISON ST STE 100A
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City | PORTLAND
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State | OR
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Zip | 97214-3600
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Country | US
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Telephone | 503-935-9488
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Fax | 971-260-4989
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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 | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 3235
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 3235
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 111NI0900X
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Taxonomy Name | Internist Chiropractor
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License Number | 3235
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3235
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License Number State | OR
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