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General NPI Number Information
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NPI Number | 1245710151
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Entity Type | Organization
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Legal Business Name | WARREN B. BRANCH DDS PLLC
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Dates
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Enumeration Date | 08/20/2018
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Last Update Date | 08/21/2018
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Provider Practice Location Address
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Address Line | 3301 OAKWELL CT STE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78218-3074
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Country | US
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Telephone | 210-653-8398
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Fax | 210-653-9533
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Provider Business Mailing Address
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Address Line | 3301 OAKWELL CT STE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78218-3074
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Country | US
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Telephone | 210-653-8398
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Fax | 210-653-9533
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Authorized Official
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Title or Position | DENTIST
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Name | DR. WARREN BOOWELL BRANCH
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Credential |
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Telephone | 210-653-8398
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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 | 12797
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License Number State | TX
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