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General NPI Number Information
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NPI Number | 1295421931
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Entity Type | Individual
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Provider Name | BRYNA ADINA STRONG DMD
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Gender | Female
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Dates
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Enumeration Date | 04/14/2023
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Last Update Date | 07/14/2024
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Provider Practice Location Address
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Address Line | 516 1ST ST STE J
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City | ALAMOGORDO
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State | NM
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Zip | 88310-6511
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Country | US
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Telephone | 575-214-3222
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Fax |
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Provider Business Mailing Address
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Address Line | 56 CYPRESS CIR
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City | SANTA ROSA BEACH
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State | FL
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Zip | 32459-8577
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Country | US
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Telephone | 205-520-6470
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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 | 28193
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License Number State | FL
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