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General NPI Number Information
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NPI Number | 1265224646
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Entity Type | Individual
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Provider Name | REMINGTON JAMES BRISBOIS DDS
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Gender | Male
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 207 MAIN ST W
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City | WABASHA
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State | MN
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Zip | 55981-1238
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Country | US
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Telephone | 651-565-3511
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Fax |
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Provider Business Mailing Address
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Address Line | 6695 LODGEVIEW CIR NW UNIT 2
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City | ROCHESTER
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State | MN
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Zip | 55901-6598
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Country | US
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Telephone | 651-485-1166
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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 | D15253
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License Number State | MN
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