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General NPI Number Information
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NPI Number | 1841477510
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Entity Type | Organization
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Legal Business Name | DARREN G. BRENNER DMD, LLC
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 12/28/2008
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Provider Practice Location Address
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Address Line | 3461 ROUTE 22
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City | BRANCHBURG
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State | NJ
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Zip | 08876-6021
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Country | US
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Telephone | 908-203-1998
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Fax | 908-203-1448
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Provider Business Mailing Address
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Address Line | 3461 ROUTE 22
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City | BRANCHBURG
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State | NJ
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Zip | 08876-6021
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Country | US
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Telephone | 908-203-1998
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Fax | 908-203-1448
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Authorized Official
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Title or Position | OWNER
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Name | DR. DARREN GLENN BRENNER
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Credential | DMD
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Telephone | 908-203-1998
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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 | D101896700
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License Number State | NJ
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