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General NPI Number Information
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NPI Number | 1578705125
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Entity Type | Individual
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Provider Name | BRIAN JOSEPH AEBLY D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/28/2009
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 920 E 1ST ST STE 201
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City | DULUTH
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State | MN
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Zip | 55805-2201
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Country | US
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Telephone | 218-249-7970
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Fax | 218-249-7997
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Provider Business Mailing Address
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Address Line | 400 E 3RD ST
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City | DULUTH
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State | MN
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Zip | 55805-1951
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Country | US
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Telephone | 218-786-8364
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Fax |
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 59301
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | 55587-21
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 55587-21
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 59301
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License Number State | MN
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