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General NPI Number Information
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NPI Number | 1720976400
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Entity Type | Individual
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Provider Name | BRYNN M MAUL DDS
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Gender | Female
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 900 N TYLER RD STE 2
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City | WICHITA
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State | KS
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Zip | 67212-3249
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Country | US
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Telephone | 316-722-2596
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Fax |
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Provider Business Mailing Address
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Address Line | 14338 W OCALA CT
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City | WICHITA
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State | KS
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Zip | 67235-3438
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Country | US
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Telephone | 316-680-6508
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 62356
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License Number State | KS
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