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General NPI Number Information
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NPI Number | 1790347599
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Entity Type | Individual
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Provider Name | BRENNAN JAMES WELCH DDS
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Gender | Male
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Dates
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Enumeration Date | 07/01/2019
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Last Update Date | 09/28/2021
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Provider Practice Location Address
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Address Line | 15123 PRESTONWOOD BLVD STE 140
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City | DALLAS
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State | TX
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Zip | 75248-4701
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Country | US
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Telephone | 972-644-1998
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Fax |
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Provider Business Mailing Address
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Address Line | 5765 BOZEMAN DR APT 2212
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City | PLANO
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State | TX
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Zip | 75024-5710
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Country | US
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Telephone | 512-529-3323
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7266
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 35215
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License Number State | TX
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