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General NPI Number Information
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NPI Number | 1598762924
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Entity Type | Individual
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Provider Name | BRIAN NOVACK DPM
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Gender | Male
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 29630 EUCLID AVE
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City | WICKLIFFE
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State | OH
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Zip | 44092-1829
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Country | US
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Telephone | 440-944-6665
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Fax |
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Provider Business Mailing Address
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Address Line | 29630 EUCLID AVE
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City | WICKLIFFE
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State | OH
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Zip | 44092-1829
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Country | US
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Telephone | 440-944-6665
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 36-00-2998-N
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License Number State | OH
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