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General NPI Number Information
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NPI Number | 1881704013
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Entity Type | Organization
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Legal Business Name | BRILOR, INC.
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 590 W PUTNAM AVE SUITE 1
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City | PORTERVILLE
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State | CA
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Zip | 93257-3257
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Country | US
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Telephone | 559-784-6336
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Fax |
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Provider Business Mailing Address
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Address Line | 14111 FREEWAY DR SUITE 208
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City | SANTA FE SPRINGS
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State | CA
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Zip | 90670-5822
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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 | PRESIDENT
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Name | MICHAEL GLOBERMAN
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Credential |
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Telephone | 562-407-9338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY35854
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License Number State | CA
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