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General NPI Number Information
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NPI Number | 1184903775
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Entity Type | Organization
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Legal Business Name | CINDY N. BRAYER, DMD, PA
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Dates
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Enumeration Date | 08/12/2011
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Last Update Date | 08/12/2011
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Provider Practice Location Address
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Address Line | 3388 49TH ST N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33710-2146
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Country | US
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Telephone | 727-323-0377
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Fax | 727-323-3989
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Provider Business Mailing Address
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Address Line | 3388 49TH ST N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33710-2146
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Country | US
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Telephone | 727-323-0377
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Fax | 727-323-3989
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CINDY N BRAYER
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Credential | D.M.D., P.A
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Telephone | 727-323-0377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN 8235
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN 15217
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License Number State | FL
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