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General NPI Number Information
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NPI Number | 1659154821
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Entity Type | Organization
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Legal Business Name | BRIANS LOCUM TENENS
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 610 OLD YORK RD SUITE 400
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City | JENKINTOWN
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State | PA
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Zip | 19046
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Country | US
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Telephone | 215-941-8696
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Fax | 215-941-8707
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Provider Business Mailing Address
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Address Line | 386 RUSHFOIL DR
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City | WILLIAMSTOWN
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State | NJ
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Zip | 08094-3906
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Country | US
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Telephone | 215-287-3357
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MISS MARIE F PIERRE
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Credential |
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Telephone | 215-287-3357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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