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General NPI Number Information
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NPI Number | 1235215617
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Entity Type | Individual
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Provider Name | SIDNEY N.M.N. BROWNSTEIN DDS
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Gender | Male
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Dates
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Enumeration Date | 10/28/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1304 15TH ST SUITE 301
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City | SANTA MONICA
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State | CA
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Zip | 90404-1809
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Country | US
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Telephone | 310-450-3844
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Fax | 310-399-1236
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Provider Business Mailing Address
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Address Line | 2337 27TH ST
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City | SANTA MONICA
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State | CA
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Zip | 90405-1921
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Country | US
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Telephone | 310-450-3844
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 23483
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License Number State | CA
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