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General NPI Number Information
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NPI Number | 1215937255
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Entity Type | Individual
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Provider Name | THOMAS STEPHEN BRENNAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 10/26/2007
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Provider Practice Location Address
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Address Line | 1415 LA CONCHA LN
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City | HOUSTON
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State | TX
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Zip | 77054-1801
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Country | US
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Telephone | 713-790-9080
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Fax | 713-790-1664
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Provider Business Mailing Address
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Address Line | 242 BLALOCK RD
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City | HOUSTON
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State | TX
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Zip | 77024-7307
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Country | US
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Telephone | 713-975-7542
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Fax | 713-789-3847
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | H1743
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License Number State | TX
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