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General NPI Number Information
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NPI Number | 1699240879
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Entity Type | Individual
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Provider Name | BRIAN ASHFORD BRODINE DDS
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Gender | Male
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 220 LINDEN OAKS STE 340
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City | ROCHESTER
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State | NY
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Zip | 14625-2839
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Country | US
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Telephone | 585-509-4903
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Fax |
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Provider Business Mailing Address
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Address Line | 220 LINDEN OAKS STE 340
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City | ROCHESTER
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State | NY
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Zip | 14625-2839
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Country | US
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Telephone | 585-248-8580
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 062207
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License Number State | NY
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