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General NPI Number Information
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NPI Number | 1720232481
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Entity Type | Individual
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Provider Name | ADRIA JOAN BROFMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/07/2008
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Last Update Date | 11/07/2008
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Provider Practice Location Address
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Address Line | 92 N. MADISON AVE. STE 1
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City | PASADENA
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State | CA
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Zip | 91101
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Country | US
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Telephone | 310-273-3736
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Fax | 310-271-6977
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Provider Business Mailing Address
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Address Line | 92 N. MADISON AVE. STE 1
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City | PASADENA
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State | CA
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Zip | 91101
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Country | US
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Telephone | 310-273-3736
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Fax | 310-271-6977
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | G80671
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License Number State | CA
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