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General NPI Number Information
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NPI Number | 1710244165
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Entity Type | Individual
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Provider Name | SCOTT CHRISTOPHER BREWSTER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/23/2012
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 1140 3RD ST NE STE B-210A
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City | WASHINGTON
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State | DC
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Zip | 20002-6274
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Country | US
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Telephone | 202-918-1620
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Fax | 202-918-1621
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Provider Business Mailing Address
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Address Line | 1140 3RD ST NE STE B-210A
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City | WASHINGTON
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State | DC
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Zip | 20002-6274
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Country | US
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Telephone | 202-918-1620
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Fax | 202-918-1621
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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 | 1001960
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 15351
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License Number State | MD
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