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General NPI Number Information
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NPI Number | 1528181765
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Entity Type | Individual
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Provider Name | NANCY ELLEN BRILEY R.P.T.
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10605 BALBOA BLVD SUITE 330
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City | GRANADA HILLS
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State | CA
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Zip | 91344-6342
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Country | US
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Telephone | 818-832-7304
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Fax | 818-832-7249
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Provider Business Mailing Address
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Address Line | 28423 APPLEWOOD LN
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City | CASTAIC
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State | CA
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Zip | 91384-4301
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Country | US
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Telephone | 661-257-2698
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Fax | 661-257-8958
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11123
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License Number State | CA
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