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General NPI Number Information
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NPI Number | 1982478905
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Entity Type | Individual
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Provider Name | JAMES WARREN CARROLL BRINK PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 11/09/2023
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 9596 COLERAIN AVE
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City | CINCINNATI
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State | OH
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Zip | 45251-2004
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Country | US
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Telephone | 513-909-3460
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Fax |
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Provider Business Mailing Address
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Address Line | 326 E 2ND ST APT 8
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City | COVINGTON
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State | KY
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Zip | 41011-1783
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Country | US
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Telephone | 216-215-2750
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT020797
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License Number State | OH
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