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General NPI Number Information
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NPI Number | 1538867544
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Entity Type | Individual
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Provider Name | HANNAH BRODEEN DDS
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Gender | Female
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 910 WAGNER AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78211-3213
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Country | US
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Telephone | 210-922-7000
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Fax | 210-924-1374
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Provider Business Mailing Address
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Address Line | 3750 COMMERCIAL AVE
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City | SAN ANTONIO
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State | TX
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Zip | 78221-3117
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Country | US
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Telephone | 210-922-7000
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Fax | 210-924-1374
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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 | 00206267
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 40860
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License Number State | TX
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