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General NPI Number Information
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NPI Number | 1700032497
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Entity Type | Individual
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Provider Name | DANIEL BRELIAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 03/24/2016
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Provider Practice Location Address
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Address Line | 711 W COLLEGE ST SUITE 203
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City | LOS ANGELES
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State | CA
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Zip | 90012-1163
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Country | US
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Telephone | 213-830-8960
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Fax | 213-972-0977
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Provider Business Mailing Address
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Address Line | PO BOX 11816
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City | BELFAST
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State | ME
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Zip | 04915-4009
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 146762
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License Number State | DC
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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 | A109924
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License Number State | CA
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