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General NPI Number Information
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NPI Number | 1972586550
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Entity Type | Individual
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Provider Name | BRIAN DANIEL MAJOR PA-C
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Gender | Male
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 10/13/2024
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Provider Practice Location Address
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Address Line | 80 SEYMOUR ST
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City | HARTFORD
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State | CT
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Zip | 06102-8000
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Country | US
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Telephone | 609-725-0228
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Fax |
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Provider Business Mailing Address
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Address Line | 80 SEYMOUR ST
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City | HARTFORD
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State | CT
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Zip | 06102-8000
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Country | US
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Telephone | 860-972-5022
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 000641
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License Number State | CT
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