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General NPI Number Information
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NPI Number | 1689947293
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Entity Type | Individual
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Provider Name | BRANDON KENT BRILL D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2012
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 115 E 8TH ST
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City | COZAD
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State | NE
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Zip | 69130-1729
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Country | US
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Telephone | 308-440-0934
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 566
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City | COZAD
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State | NE
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Zip | 69130-0566
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Country | US
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Telephone |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1706
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License Number State | NE
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