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General NPI Number Information
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NPI Number | 1831864909
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Entity Type | Organization
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Legal Business Name | BRIAN FORREST, DC, LLC
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Dates
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Enumeration Date | 08/11/2021
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 8920 BUSINESS PARK DR STE 135
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City | AUSTIN
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State | TX
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Zip | 78759-7632
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Country | US
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Telephone | 254-216-9730
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Fax |
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Provider Business Mailing Address
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Address Line | 2414 BRANDING IRON LN
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City | LEANDER
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State | TX
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Zip | 78641-3169
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Country | US
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Telephone | 254-216-9730
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Fax |
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | BRIAN NATHAN FORREST
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Credential | DC
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Telephone | 254-216-9730
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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 |
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License Number State |
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