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General NPI Number Information
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NPI Number | 1760040208
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Entity Type | Individual
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Provider Name | SEAN L BRINGHURST DMD
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Gender | Male
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Dates
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Enumeration Date | 05/30/2019
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 5505 S. LINDSAY RD. STE. 106
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City | GILBERT
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State | AZ
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Zip | 83201-4990
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Country | US
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Telephone | 480-670-7106
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Fax |
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Provider Business Mailing Address
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Address Line | 3909 E BLUE SPRUCE LN
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City | GILBERT
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State | AZ
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Zip | 85298-0433
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Country | US
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Telephone | 480-670-7106
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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 | D010576
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License Number State | AZ
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