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General NPI Number Information
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NPI Number | 1508861089
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Entity Type | Individual
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Provider Name | BRIAN M TREON MD
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Gender | Male
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Dates
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Enumeration Date | 06/20/2005
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Last Update Date | 01/29/2010
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Provider Practice Location Address
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Address Line | 2000 GREEN RD SUITE 300
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City | ANN ARBOR
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State | MI
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Zip | 48105-1598
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Country | US
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Telephone | 734-995-3764
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Fax | 734-661-0730
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Provider Business Mailing Address
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Address Line | 425 HOME ST
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City | GEORGETOWN
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State | OH
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Zip | 45121-1407
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Country | US
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Telephone | 937-378-7780
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Fax | 937-378-7792
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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 | 35072342
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License Number State | OH
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