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General NPI Number Information
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NPI Number | 1750732509
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Entity Type | Individual
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Provider Name | BRANDON RIPPY
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Gender | Male
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Dates
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Enumeration Date | 06/23/2016
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | AREA SPT GRP KUWAIT
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City | ARIFJAN
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State | KUWAIT
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Zip | 09366
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Country | KW
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Telephone | 210-760-9319
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Fax |
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Provider Business Mailing Address
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Address Line | AREA SPT GRP KUWAIT
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City | ARIFJAN
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State | KUWAIT
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Zip | 09366
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Country | KW
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Telephone |
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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 | 126800000X
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Taxonomy Name | Dental Assistant
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License Number |
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License Number State |
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