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General NPI Number Information
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NPI Number | 1417516311
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Entity Type | Individual
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Provider Name | BRITTON NICOLE ALLEN DMD
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Gender | Female
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Dates
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Enumeration Date | 06/13/2019
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Last Update Date | 06/13/2019
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Provider Practice Location Address
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Address Line | 810 S GENERAL MCMULLEN DR STE 108
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City | SAN ANTONIO
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State | TX
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Zip | 78237-3163
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Country | US
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Telephone | 210-485-3377
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Fax |
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Provider Business Mailing Address
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Address Line | 9931 HYATT RESORT DR APT 1518
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4179
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Country | US
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Telephone | 702-349-0720
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 35102
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License Number State | TX
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