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General NPI Number Information
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NPI Number | 1588716526
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Entity Type | Individual
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Provider Name | JOHN F BRENT D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 181 MAIN ST
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City | HARLEYSVILLE
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State | PA
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Zip | 19438-2514
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Country | US
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Telephone | 215-256-6188
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Fax | 215-256-1812
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Provider Business Mailing Address
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Address Line | 1960 DEERFIELD DR
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City | LANSDALE
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State | PA
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Zip | 19446-5007
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Country | US
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Telephone | 215-855-9127
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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 | DS017048L
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License Number State | PA
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