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General NPI Number Information
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NPI Number | 1629657473
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Entity Type | Individual
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Provider Name | CHRISTINE CELESTE BRENNAN MD
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Gender | Female
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Dates
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Enumeration Date | 04/07/2021
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 450 BROADWAY ST FL 2
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City | REDWOOD CITY
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State | CA
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Zip | 94063-3132
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Country | US
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Telephone | 507-236-6016
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 N 12TH ST STE 508
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City | PHOENIX
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State | AZ
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Zip | 85006-2849
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Country | US
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Telephone | 602-839-3927
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Fax | 602-839-3927
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | A195905
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License Number State | CA
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