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General NPI Number Information
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NPI Number | 1780996678
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Entity Type | Organization
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Legal Business Name | MCGARRELL ORTHODONTICS
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Dates
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Enumeration Date | 07/08/2010
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 6051 FM 3009 248
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City | SCHERTZ
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State | TX
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Zip | 78154-3433
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Country | US
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Telephone | 210-441-0421
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Fax |
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Provider Business Mailing Address
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Address Line | 6051 FM 3009 248
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City | SCHERTZ
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State | TX
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Zip | 78154-3433
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Country | US
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Telephone | 210-441-0421
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRANDON MCGARRELL
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Credential | DMD
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Telephone | 210-441-0421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 25247
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License Number State | TX
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