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General NPI Number Information
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NPI Number | 1417782988
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Entity Type | Individual
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Provider Name | DAVID ANTONIO VINDEL BROWER DDS
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Gender | Male
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Dates
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Enumeration Date | 09/04/2024
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 12810 HIGHWAY 6
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City | SANTA FE
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State | TX
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Zip | 77510-8613
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Country | US
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Telephone | 409-925-2555
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Fax |
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Provider Business Mailing Address
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Address Line | 555 FM 646 RD W APT 421
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City | DICKINSON
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State | TX
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Zip | 77539-3485
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Country | US
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Telephone | 409-300-7651
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 40954
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License Number State | TX
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