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General NPI Number Information
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NPI Number | 1295974236
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Entity Type | Individual
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Provider Name | BRENDAN BOOKER LOEHR D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/16/2009
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Last Update Date | 03/30/2016
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Provider Practice Location Address
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Address Line | BRITEX DENTAL 10200 BOULDER LANE SUITE 300
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City | AUSTIN
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State | TX
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Zip | 78726
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Country | US
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Telephone | 512-960-7997
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Fax |
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Provider Business Mailing Address
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Address Line | 8110 RANCH ROAD 2222 APT 49
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City | AUSTIN
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State | TX
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Zip | 78730-2341
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Country | US
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Telephone | 512-960-7997
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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 | 30932
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 22335
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License Number State | MA
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