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General NPI Number Information
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NPI Number | 1639282064
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Entity Type | Organization
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Legal Business Name | ROBERT BRENNER, MD, PA
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 07/14/2010
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Provider Practice Location Address
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Address Line | 8833 ENCLAVE CT
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City | SARASOTA
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State | FL
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Zip | 34238-4486
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Country | US
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Telephone | 941-922-8084
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Fax |
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Provider Business Mailing Address
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Address Line | 8833 ENCLAVE CT
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City | SARASOTA
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State | FL
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Zip | 34238-4486
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Country | US
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Telephone | 941-922-8084
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT LEONARD BRENNER
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Credential |
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Telephone | 941-922-8084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME87091
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License Number State | FL
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