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General NPI Number Information
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NPI Number | 1851426324
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Entity Type | Individual
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Provider Name | RICHARD JAMES BROSTROM MD MSPH
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Gender | Male
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | COMMONWEALTH HEALTH CENTER 1 LOWER MARY HILL ROAD
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City | SAIPAN
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State | MP
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Zip | 96950
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Country | US
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Telephone | 670-234-8950
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Fax | 670-236-8700
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Provider Business Mailing Address
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Address Line | PO BOX 10001 PMB 631
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City | SAIPAN
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State | MP
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Zip | 96950
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Country | US
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Telephone | 670-322-3773
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Fax | 670-236-8700
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MP-0192
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License Number State | MP
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