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General NPI Number Information
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NPI Number | 1093880692
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Entity Type | Individual
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Provider Name | BRANDT DENNEHY O.D.
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Gender | Male
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2410 AMHERST AVE
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City | BUTTE
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State | MT
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Zip | 59701-3800
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Country | US
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Telephone | 406-494-6692
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Fax | 406-494-2205
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Provider Business Mailing Address
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Address Line | 2260 SOUTH DR
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City | BUTTE
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State | MT
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Zip | 59701-6168
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Country | US
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Telephone | 406-782-6212
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 670
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License Number State | MT
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