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NPI 1346443603

NPI 1346443603 : THOMAS S. BROWDER DDS : ADVANCE, NC

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General NPI Number Information
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    NPI Number           |    1346443603
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    Entity Type          |    Organization 
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    Legal Business Name  |    THOMAS S. BROWDER DDS 
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Dates
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    Enumeration Date     |    06/06/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    5380 US HIGHWAY 158 SUITE 200
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    City                 |    ADVANCE
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    State                |    NC
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    Zip                  |    27006-6907
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    Country              |    US
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    Telephone            |    336-998-9988
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    Fax                  |    336-998-6331
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Provider Business Mailing Address
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    Address Line         |    5380 US HIGHWAY 158 SUITE 200
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    City                 |    ADVANCE
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    State                |    NC
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    Zip                  |    27006-6907
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    Country              |    US
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    Telephone            |    336-998-9988
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    Fax                  |    336-998-6331
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Authorized Official
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    Title or Position    |    GENERAL DENTIST
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    Name                 |    DR. THOMAS S. BROWDER 
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    Credential           |    D.D.S.
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    Telephone            |    336-998-9988
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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       |    6654
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    License Number State |    NC
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