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General NPI Number Information
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NPI Number | 1932456720
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Entity Type | Individual
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Provider Name | BRIAN MUSIAL L.AC
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Gender | Male
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Dates
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Enumeration Date | 08/10/2012
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Last Update Date | 08/10/2012
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Provider Practice Location Address
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Address Line | 445 JACKSON AVE SUITE 207
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City | NAPERVILLE
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State | IL
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Zip | 60540-5256
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Country | US
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Telephone | 630-699-9205
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Fax |
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Provider Business Mailing Address
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Address Line | 511 CHAMBERLAIN LN UNIT 208
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City | NAPERVILLE
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State | IL
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Zip | 60540-9285
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Country | US
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Telephone | 708-297-5624
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 198.000883
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License Number State | IL
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