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General NPI Number Information
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NPI Number | 1871621003
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Entity Type | Individual
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Provider Name | ELIZABETH A. BRENCI P.T.
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9700 N 91ST ST A115
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5054
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Country | US
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Telephone | 480-922-1376
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Fax | 480-922-8783
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Provider Business Mailing Address
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Address Line | 888 E CLINTON ST 1130
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City | PHOENIX
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State | AZ
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Zip | 85020-5802
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Country | US
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Telephone | 850-586-0818
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 7598
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License Number State | AZ
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