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General NPI Number Information
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NPI Number | 1548228802
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Entity Type | Individual
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Provider Name | BERNHARD L. BRIJBAG D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 03/11/2020
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Provider Practice Location Address
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Address Line | 5000 UNIVERSITY DR STE 1100
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City | CORAL GABLES
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State | FL
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Zip | 33146-2008
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Country | US
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Telephone | 305-663-0088
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Fax | 305-663-1933
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Provider Business Mailing Address
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Address Line | 5000 UNIVERSITY DR STE 1100
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City | CORAL GABLES
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State | FL
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Zip | 33146-2008
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Country | US
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Telephone | 305-663-0088
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Fax | 305-663-1933
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS7081
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License Number State | FL
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