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General NPI Number Information
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NPI Number | 1699868372
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Entity Type | Organization
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Legal Business Name | BRUCE W ALBRIGHT DDS PA
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 02/04/2008
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Provider Practice Location Address
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Address Line | 210 EAST 30TH AVE SUITE 110
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City | HUTCHINSON
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State | KS
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Zip | 67502
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Country | US
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Telephone | 620-669-9911
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Fax | 620-669-6838
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Provider Business Mailing Address
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Address Line | 210 EAST 30TH AVE SUITE 110
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City | HUTCHINSON
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State | KS
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Zip | 67502
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Country | US
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Telephone | 620-669-9911
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Fax | 620-669-6838
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRUCE W ALBRIGHT
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Credential | DDS
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Telephone | 620-669-9911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 4651
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License Number State | KS
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