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General NPI Number Information
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NPI Number | 1235337650
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Entity Type | Individual
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Provider Name | BRYAN CHRISTOPHER STAPP D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/06/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 900 N MIAMI BEACH BLVD
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-3716
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Country | US
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Telephone | 305-947-9001
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Fax | 305-354-3776
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Provider Business Mailing Address
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Address Line | 2218 SW 128TH AVE
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City | MIRAMAR
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State | FL
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Zip | 33027-2648
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Country | US
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Telephone | 954-433-8040
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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 | DN15908
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License Number State | FL
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