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General NPI Number Information
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NPI Number | 1447706601
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Entity Type | Individual
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Provider Name | BREANNA DONALD DMD
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Gender | Female
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 04/06/2025
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Provider Practice Location Address
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Address Line | 19465 DEERFIELD AVE STE 302
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City | LANSDOWNE
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State | VA
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Zip | 20176-1705
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Country | US
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Telephone | 703-726-3030
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 TERRETT AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22301-1148
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Country | US
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Telephone | 571-215-7470
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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 | DN1857357
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS041032
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN1857357
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DS041032
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DEN1002178
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License Number State | DC
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Taxonomy #6
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 0401417260
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License Number State | VA
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