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General NPI Number Information
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NPI Number | 1780801027
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Entity Type | Individual
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Provider Name | DR. FRANTZ BRIGNOL
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Gender | Male
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/07/2016
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Provider Practice Location Address
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Address Line | 8136 CENTRALIA CT SUITE 103
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City | LEESBURG
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State | FL
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Zip | 34788-8136
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Country | US
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Telephone | 352-365-0300
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Fax | 352-365-0309
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Provider Business Mailing Address
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Address Line | 11962 COUNTY ROAD 101 STE 304
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City | THE VILLAGES
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State | FL
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Zip | 32162-9337
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Country | US
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Telephone | 352-365-0300
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Fax | 352-750-9641
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN16670
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License Number State | FL
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