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NPI 1306968573

NPI 1306968573 : BRIAN J BRITT DDS : GARFIELD HEIGHTS, OH

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General NPI Number Information
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    NPI Number           |    1306968573
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    Entity Type          |    Individual 
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    Provider Name        |    BRIAN J BRITT DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/06/2007
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    Last Update Date     |    12/29/2015
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Provider Practice Location Address
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    Address Line         |    9701 VISTA WAY 
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    City                 |    GARFIELD HEIGHTS
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    State                |    OH
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    Zip                  |    44125
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    Country              |    US
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    Telephone            |    216-662-4100
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    Fax                  |    216-662-8794
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Provider Business Mailing Address
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    Address Line         |    633W BAGLEY RD 
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    City                 |    BEREA
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    State                |    OH
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    Zip                  |    44017-1356
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    Country              |    US
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    Telephone            |    440-826-4242
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    Fax                  |    440-826-4243
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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       |    30022228
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    License Number State |    OH
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