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General NPI Number Information
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NPI Number | 1871437699
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Entity Type | Individual
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Provider Name | BRENT FIRARI RN, SRNA
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Gender | Male
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 2415 10TH AVE N
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City | GRAND FORKS
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State | ND
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Zip | 58203-2218
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Country | US
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Telephone | 608-408-9942
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Fax |
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Provider Business Mailing Address
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Address Line | 2415 10TH AVE N
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City | GRAND FORKS
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State | ND
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Zip | 58203-2218
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Country | US
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Telephone |
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 200715
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License Number State | ND
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