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General NPI Number Information
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NPI Number | 1285788844
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Entity Type | Organization
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Legal Business Name | DR DAVID BRENTS P.C.
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1114 E HIGH ST
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-4844
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Country | US
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Telephone | 434-977-6677
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Fax |
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Provider Business Mailing Address
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Address Line | 1114 E HIGH ST
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-4844
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID EUGENE BRENTS
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Credential | DC
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Telephone | 434-977-6677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 0104556462
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License Number State | VA
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