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General NPI Number Information
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NPI Number | 1700880069
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Entity Type | Individual
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Provider Name | JONATHAN HAVENS BRIGGS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2005
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Last Update Date | 02/04/2014
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Provider Practice Location Address
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Address Line | 1945 ROUTE 33
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City | NEPTUNE
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State | NJ
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Zip | 07753-4859
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Country | US
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Telephone | 732-776-4404
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Fax | 732-776-4672
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Provider Business Mailing Address
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Address Line | PO BOX 845592
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City | DALLAS
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State | TX
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Zip | 75284-5592
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Country | US
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Telephone | 855-709-4531
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Fax | 302-733-0854
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 25MA07260000
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License Number State | NJ
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