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General NPI Number Information
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NPI Number | 1700080850
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Entity Type | Organization
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Legal Business Name | KATHLEEN HERB BROWER, DMD, MD, LLC
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3655 ROUTE 202 GEORGETOWN CROSSING, STE 210
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City | DOYLESTOWN
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State | PA
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Zip | 18902
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Country | US
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Telephone | 215-345-6880
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Fax | 215-345-6884
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Provider Business Mailing Address
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Address Line | 3655 ROUTE 202 GEORGETOWN CROSSING, STE 210
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City | DOYLESTOWN
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State | PA
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Zip | 18902
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Country | US
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Telephone | 215-345-6880
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Fax | 215-345-6884
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Authorized Official
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Title or Position | OWNER
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Name | DR. KATHLEEN E HERB
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Credential | DMD, MD
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Telephone | 215-345-6880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DS028192L
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License Number State | PA
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