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General NPI Number Information
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NPI Number | 1336591387
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Entity Type | Individual
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Provider Name | STEELE BRIMHALL DDS
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Gender | Male
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Dates
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Enumeration Date | 07/01/2016
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 1033 ROBERTSON ST
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City | FORT COLLINS
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State | CO
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Zip | 80524-3926
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Country | US
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Telephone | 970-482-4242
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Fax |
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Provider Business Mailing Address
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Address Line | 1033 ROBERTSON ST
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City | FORT COLLINS
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State | CO
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Zip | 80524-3926
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Country | US
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Telephone | 79-482-4242
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Fax | 970-482-0610
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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 | DEN.00203416
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License Number State | CO
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