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General NPI Number Information
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NPI Number | 1437022969
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Entity Type | Organization
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Legal Business Name | BRIAN HAYMORE DDS LLC
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 7900 EL CAJON BLVD STE F
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City | LA MESA
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State | CA
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Zip | 91942-0655
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Country | US
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Telephone | 619-465-1733
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Fax |
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Provider Business Mailing Address
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Address Line | 321 A ST
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City | ENCINITAS
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State | CA
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Zip | 92024-3221
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | MR. BRIAN D HAYMORE
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Credential | DDS
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Telephone | 435-962-3277
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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 |
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License Number State |
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