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General NPI Number Information
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NPI Number | 1790595148
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Entity Type | Organization
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Legal Business Name | BRENNA REICHMAN LLC
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 2800 S STATE ST STE 215
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City | ANN ARBOR
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State | MI
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Zip | 48104-7103
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Country | US
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Telephone | 734-547-3990
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Fax | 734-547-3980
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Provider Business Mailing Address
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Address Line | 2735 SEQUOIA PKWY
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City | ANN ARBOR
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State | MI
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Zip | 48103-2663
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Country | US
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Telephone | 510-599-3935
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | BRENNA REICHMAN
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Credential | MSN, RN, AGNP-C
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Telephone | 510-599-3935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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