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General NPI Number Information
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NPI Number | 1659184752
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Entity Type | Individual
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Provider Name | MICHAEL BRIOTTE CNIM
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Gender | Male
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 43 NEW SCOTLAND AVE
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City | ALBANY
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State | NY
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Zip | 12208-3412
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Country | US
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Telephone | 518-262-3125
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Fax |
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Provider Business Mailing Address
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Address Line | 10275 LITTLE PATUXENT PKWY
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City | COLUMBIA
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State | MD
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Zip | 21044-3445
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Country | US
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Telephone | 888-464-2466
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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 | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number | 2692
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License Number State | NY
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