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General NPI Number Information
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NPI Number | 1760538979
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Entity Type | Individual
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Provider Name | BRIAN T GARIBALDI M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/28/2007
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 676 N SAINT CLAIR ST STE 2100
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City | CHICAGO
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State | IL
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Zip | 60611-2993
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Country | US
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Telephone | 312-695-1800
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Fax | 312-695-4741
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Provider Business Mailing Address
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Address Line | PO BOX 64264
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City | BALTIMORE
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State | MD
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Zip | 21264-4264
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Country | US
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Telephone | 410-955-3467
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 036171042
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | D66256
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License Number State | MD
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