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General NPI Number Information
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NPI Number | 1184517831
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Entity Type | Individual
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Provider Name | BRENDAN MARLIN DMD
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Gender | Male
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 3161 N RAINBOW BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89108-4578
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Country | US
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Telephone | 813-431-2481
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Fax |
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Provider Business Mailing Address
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Address Line | 10175 SPRING MOUNTAIN RD UNIT 1135
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City | LAS VEGAS
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State | NV
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Zip | 89117-8472
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 8184
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License Number State | NV
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