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General NPI Number Information
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NPI Number | 1578779260
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Entity Type | Individual
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Provider Name | BRIAN PAUL GARRETT M.D., O.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 03/26/2018
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Provider Practice Location Address
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Address Line | 950 GLENN DR STE 235
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City | FOLSOM
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State | CA
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Zip | 95630-3193
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Country | US
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Telephone | 916-990-9159
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Fax | 916-988-4937
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Provider Business Mailing Address
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Address Line | 3835 N FREEWAY BLVD 100
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City | SACRAMENTO
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State | CA
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Zip | 95834-1928
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Country | US
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Telephone | 916-576-7900
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Fax | 916-285-0338
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2002007094
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 2002007094
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 45467
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A144630
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License Number State | CA
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