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General NPI Number Information
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NPI Number | 1659355170
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Entity Type | Individual
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Provider Name | ROBERT OWEN BRENNAN MD
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Gender | Male
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 2215 LANDOVER PL
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City | LYNCHBURG
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State | VA
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Zip | 24501-2115
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Country | US
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Telephone | 434-947-3900
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Fax | 434-455-5531
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Provider Business Mailing Address
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Address Line | 2215 LANDOVER PL
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City | LYNCHBURG
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State | VA
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Zip | 24501-2115
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Country | US
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Telephone | 434-947-3900
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Fax | 434-455-5531
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 0101036804
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101036804
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License Number State | VA
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