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General NPI Number Information
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NPI Number | 1538733308
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Entity Type | Organization
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Legal Business Name | BRIAN K. BRENNAN, PLLC
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Dates
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Enumeration Date | 05/17/2021
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Last Update Date | 05/17/2021
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Provider Practice Location Address
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Address Line | 24 BATTLE ST
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City | SOMERS
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State | CT
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Zip | 06071-1629
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Country | US
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Telephone | 413-495-2216
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Fax |
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Provider Business Mailing Address
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Address Line | 35 ZUELL RD
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City | MONSON
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State | MA
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Zip | 01057-9764
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Country | US
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Telephone | 413-495-2216
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRIAN KENNETH BRENNAN
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Credential | LPC, PLLC
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Telephone | 413-495-2216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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