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General NPI Number Information
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NPI Number | 1629028717
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Entity Type | Individual
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Provider Name | ARLISS L BREND DDS
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 10/11/2011
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Provider Practice Location Address
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Address Line | 810 E ROSSER AVE SUITE 405
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City | BISMARCK
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State | ND
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Zip | 58501-4463
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Country | US
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Telephone | 701-222-4111
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Fax | 701-222-3495
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Provider Business Mailing Address
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Address Line | 207 E FRONT AVE SUITE C
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City | BISMARCK
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State | ND
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Zip | 58504-5596
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Country | US
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Telephone | 701-222-4111
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Fax | 701-222-3495
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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 | 1615
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License Number State | ND
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