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General NPI Number Information
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NPI Number | 1366228330
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Entity Type | Organization
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Legal Business Name | BRENDAN HUBBARD, DDS, MS, PLLC
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Dates
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Enumeration Date | 09/06/2023
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 2000 HIGHLAND VILLAGE RD STE A
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City | HIGHLAND VILLAGE
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State | TX
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Zip | 75077-8105
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Country | US
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Telephone | 972-317-4030
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 HIGHLAND VILLAGE RD STE A
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City | HIGHLAND VILLAGE
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State | TX
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Zip | 75077-8105
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Country | US
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Telephone | 972-317-4030
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. BRENDAN HUBBARD
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Credential | DDS, MS
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Telephone | 972-317-4030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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