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General NPI Number Information
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NPI Number | 1699706598
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Entity Type | Individual
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Provider Name | KRISTIN L BRILL MD
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Gender | Female
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 02/18/2020
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Provider Practice Location Address
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Address Line | 3 COOPER PLZ SUITE 411
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City | CAMDEN
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State | NJ
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Zip | 08103-1438
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Country | US
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Telephone | 856-342-2270
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Fax | 856-365-1180
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Provider Business Mailing Address
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Address Line | 1100 WALNUT STREET MOB 5TH FLOOR
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5563
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Country | US
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Telephone | 215-955-6750
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Fax | 215-923-8222
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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 | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | MD073364L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 25MA07237800
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License Number State | NJ
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