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General NPI Number Information
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NPI Number | 1396705273
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Entity Type | Individual
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Provider Name | H DEAN BRESNAHAN M. D.
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Gender | Male
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 10/30/2017
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Provider Practice Location Address
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Address Line | 53 FAIRVIEW ST
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City | BRATTLEBORO
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State | VT
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Zip | 05301-6630
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Country | US
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Telephone | 802-257-1331
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Fax | 802-254-5567
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Provider Business Mailing Address
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Address Line | 30 JENNY LN
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City | BRATTLEBORO
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State | VT
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Zip | 05301-8988
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Country | US
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Telephone | 802-257-1331
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Fax | 802-254-5567
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | VT4607
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License Number State | VT
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