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General NPI Number Information
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NPI Number | 1376432484
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Entity Type | Organization
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Legal Business Name | DAVID L BROCKMAN PC
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 5945 S 56TH ST STE 100
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City | LINCOLN
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State | NE
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Zip | 68516-3394
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Country | US
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Telephone | 402-420-2400
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Fax | 402-420-2418
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Provider Business Mailing Address
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Address Line | 5945 S 56TH ST STE 100
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City | LINCOLN
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State | NE
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Zip | 68516-3394
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Country | US
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Telephone | 402-420-2400
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Fax | 402-420-2418
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MANDY E SMITH
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Credential |
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Telephone | 402-420-2400
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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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