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General NPI Number Information
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NPI Number | 1477989481
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Entity Type | Organization
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Legal Business Name | BRIAN R JABLONSKI
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Dates
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Enumeration Date | 09/23/2013
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Last Update Date | 09/23/2013
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Provider Practice Location Address
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Address Line | 55 HARROW LN STE 3A
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City | SAGINAW
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State | MI
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Zip | 48638-6076
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Country | US
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Telephone | 989-790-4016
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Fax | 989-790-4016
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Provider Business Mailing Address
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Address Line | 55 HARROW LN STE 3A
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City | SAGINAW
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State | MI
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Zip | 48638-6076
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Country | US
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Telephone | 989-790-4016
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Fax | 989-790-4016
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Authorized Official
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Title or Position | INSURANCE AGENT
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Name | MR. BRIAN ROBERT JABLONSKI
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Credential |
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Telephone | 989-798-6229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number | 179427
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License Number State | MI
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