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General NPI Number Information
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NPI Number | 1770671216
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Entity Type | Organization
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Legal Business Name | BRIAN J INGLERIGHT D.O., INC
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 10/21/2008
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Provider Practice Location Address
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Address Line | 14540 CORTEZ BLVD SUITE 104
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City | BROOKSVILLE
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State | FL
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Zip | 34613-6056
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Country | US
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Telephone | 352-592-1243
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Fax | 352-592-1246
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Provider Business Mailing Address
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Address Line | 14540 CORTEZ BLVD SUITE 104
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City | BROOKSVILLE
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State | FL
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Zip | 34613-6056
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Country | US
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Telephone | 352-592-1243
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Fax | 352-592-1246
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN J INGLERIGHT
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Credential | D.O.
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Telephone | 352-592-1243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS6103
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License Number State | FL
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