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General NPI Number Information
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NPI Number | 1518963362
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Entity Type | Individual
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Provider Name | WILLIAM HUGH BRELAND
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Gender | Male
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 09/13/2016
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Provider Practice Location Address
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Address Line | 208 S RED RIVER EXPY STE E
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City | BURKBURNETT
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State | TX
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Zip | 76354-3752
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Country | US
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Telephone | 940-569-3630
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Fax | 940-569-3752
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Provider Business Mailing Address
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Address Line | 1337 GUSDORF RD STE I
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City | TAOS
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State | NM
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Zip | 87571-7200
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Country | US
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Telephone | 505-641-4768
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Fax | 575-758-1810
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 752803659
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1744R1103X
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Taxonomy Name | Research Study Abstracter/Coder
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License Number | 752803659
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4674
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1011591
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2429
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License Number State | OK
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