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General NPI Number Information
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NPI Number | 1831461995
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Entity Type | Individual
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Provider Name | BRIAN D WEBSTER DC
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Gender | Male
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Dates
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Enumeration Date | 02/06/2012
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Last Update Date | 10/20/2020
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Provider Practice Location Address
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Address Line | 4646 JOHN R ST
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City | DETROIT
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State | MI
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Zip | 48201-1916
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Country | US
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Telephone | 313-576-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 36653 MAPLE LEAF DR
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City | NEW BALTIMORE
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State | MI
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Zip | 48047-5582
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Country | US
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Telephone | 972-523-1897
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 11956
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2110
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08002943A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 6787
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License Number State | CO
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