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General NPI Number Information
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NPI Number | 1720329089
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Entity Type | Organization
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Legal Business Name | BRIAN WESTFALL DDS PA
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Dates
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Enumeration Date | 03/12/2013
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Last Update Date | 03/12/2013
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Provider Practice Location Address
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Address Line | 1508 FORT WORTH HWY SUITE 300
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City | WEATHERFORD
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State | TX
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Zip | 76086-4627
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Country | US
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Telephone | 817-594-6364
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Fax | 817-594-6364
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Provider Business Mailing Address
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Address Line | 1508 FORT WORTH HWY SUITE 300
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City | WEATHERFORD
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State | TX
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Zip | 76086-4627
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Country | US
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Telephone | 817-594-6364
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Fax | 817-594-6364
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRIAN WESTFALL
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Credential | DDS
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Telephone | 254-857-3702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 19417
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License Number State | TX
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