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General NPI Number Information
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NPI Number | 1689851529
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Entity Type | Individual
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Provider Name | BRIAN CHRISTOPHER NETT DDS, MSD
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Gender | Male
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Dates
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Enumeration Date | 01/22/2008
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 2060 W WHISPERING WIND DR SUITE 167
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City | PHOENIX
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State | AZ
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Zip | 85085-2867
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Country | US
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Telephone | 602-761-0079
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Fax |
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Provider Business Mailing Address
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Address Line | 2741 VILLAS WAY
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City | SAN DIEGO
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State | CA
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Zip | 92108-6731
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Country | US
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Telephone | 480-993-8177
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | D6011
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License Number State | AZ
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