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General NPI Number Information
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NPI Number | 1912964313
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Entity Type | Individual
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Provider Name | ALLAN MICHAEL BRECHER M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 08/20/2019
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Provider Practice Location Address
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Address Line | 3231 EUCLID AVE STE 409
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City | BERWYN
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State | IL
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Zip | 60402-3472
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Country | US
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Telephone | 708-788-2201
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Fax | 708-405-2047
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Provider Business Mailing Address
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Address Line | PO BOX 64568
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City | PHOENIX
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State | AZ
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Zip | 85082-4568
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Country | US
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Telephone | 630-288-6200
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Fax | 855-781-4084
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 036088577
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License Number State | IL
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