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Individual
BRIAN MICHAEL EDENS
Active
Individual
BRIAN MICHAEL EDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 7915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002413069
UNITED HEALTH CARE
FL
01
—
55950
BCBS
FL
Enumeration date
09/06/2006
Last updated
02/02/2012
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