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General NPI Number Information
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NPI Number | 1598373607
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Entity Type | Individual
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Provider Name | BRIAN FRENCH
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Gender | Male
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Dates
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Enumeration Date | 07/15/2020
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Last Update Date | 07/15/2020
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Provider Practice Location Address
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Address Line | 1003 W WASHINGTON ST
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City | TEMPE
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State | AZ
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Zip | 85281-0924
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Country | US
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Telephone | 505-903-4047
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Fax |
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Provider Business Mailing Address
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Address Line | 1003 W WASHINGTON ST APT 4008
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City | TEMPE
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State | AZ
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Zip | 85281-0937
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Country | US
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Telephone | 505-903-4047
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 046808
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License Number State | AZ
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