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General NPI Number Information
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NPI Number | 1386859569
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Entity Type | Organization
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Legal Business Name | WILLIAM B. HOLBROOK DMD PA
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 401 HOWELL AVE
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City | BROOKSVILLE
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State | FL
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Zip | 34601-2044
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Country | US
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Telephone | 352-796-3931
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Fax | 352-796-2861
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Provider Business Mailing Address
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Address Line | 401 HOWELL AVE
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City | BROOKSVILLE
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State | FL
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Zip | 34601-2044
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Country | US
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Telephone | 352-796-3931
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Fax | 352-796-2861
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM B HOLBROOK
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Credential | DMD
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Telephone | 352-796-3931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN 7868
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License Number State | FL
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