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General NPI Number Information
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NPI Number | 1780678011
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Entity Type | Individual
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Provider Name | EDWARD J BRAND MD
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Gender | Male
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Dates
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Enumeration Date | 09/01/2005
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Last Update Date | 10/26/2007
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Provider Practice Location Address
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Address Line | 777 W STATE ST SUITE 400
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City | COLUMBUS
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State | OH
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Zip | 43222-1536
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Country | US
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Telephone | 614-221-8355
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Fax | 614-221-4108
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Provider Business Mailing Address
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Address Line | OHIO GASTROENTOLOGY GROUP INC 3820 OLENTANGY RIVER ROAD
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City | COLUMBUS
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State | OH
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Zip | 43214-5403
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Country | US
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Telephone | 614-457-1213
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Fax | 614-457-9519
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 35043308
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License Number State | OH
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