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General NPI Number Information
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NPI Number | 1417163080
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Entity Type | Individual
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Provider Name | BRETT MUNRO STRONG D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 06/22/2015
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Provider Practice Location Address
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Address Line | 8201 MONONA AVE
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City | AUSTIN
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State | TX
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Zip | 78717-5329
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Country | US
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Telephone | 512-608-3789
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Fax |
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Provider Business Mailing Address
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Address Line | 8201 MONONA AVE
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City | AUSTIN
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State | TX
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Zip | 78717-5329
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Country | US
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Telephone | 512-608-3789
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Fax |
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 22545
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License Number State | TX
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