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General NPI Number Information
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NPI Number | 1790852382
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Entity Type | Individual
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Provider Name | BRANDON D. PRICE D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 04/13/2018
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Provider Practice Location Address
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Address Line | 5520 INDEPENDENCE PKWY STE 200
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City | FRISCO
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State | TX
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Zip | 75035-4607
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Country | US
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Telephone | 121-438-3095
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Fax |
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Provider Business Mailing Address
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Address Line | 14628 N 142ND LN
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City | SURPRISE
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State | AZ
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Zip | 85379-8728
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Country | US
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Telephone | 623-975-9543
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | TX25136
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License Number State | TX
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