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General NPI Number Information
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NPI Number | 1629173679
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Entity Type | Individual
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Provider Name | BRETT OPELL M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 1600 SAINT GEORGES AVE STE 202
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City | RAHWAY
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State | NJ
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Zip | 07065-2713
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Country | US
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Telephone | 732-499-0111
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Fax | 732-499-0432
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Provider Business Mailing Address
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Address Line | 1 DIAMOND HILL RD
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City | BERKELEY HEIGHTS
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State | NJ
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Zip | 07922-2104
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Country | US
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Telephone | 908-273-4300
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 25MA07442000
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License Number State | NJ
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