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General NPI Number Information
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NPI Number | 1629304928
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Entity Type | Individual
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Provider Name | BRANDI N BRILL P.T.
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Gender | Female
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Dates
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Enumeration Date | 10/22/2009
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Last Update Date | 07/25/2012
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Provider Practice Location Address
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Address Line | 1008 TAVERN RD SUITE 2
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City | MARTINSBURG
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State | WV
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Zip | 25401-2801
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Country | US
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Telephone | 304-264-4040
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Fax | 304-264-4041
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Provider Business Mailing Address
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Address Line | 4660 STATE ROUTE 51 S SUITE 2
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City | BELLE VERNON
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State | PA
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Zip | 15012-4305
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Country | US
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Telephone | 724-379-6282
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Fax | 724-379-6285
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 002889
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License Number State | WV
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