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General NPI Number Information
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NPI Number | 1861573065
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Entity Type | Individual
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Provider Name | ROBERT DAVID BRENNAN DDS
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Gender | Male
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 122 S PATTERSON AVE # C-234
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City | SANTA BARBARA
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State | CA
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Zip | 93111-2055
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Country | US
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Telephone | 805-964-0374
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Fax | 805-964-4510
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Provider Business Mailing Address
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Address Line | 122 S PATTERSON AVE # C-234
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City | SANTA BARBARA
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State | CA
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Zip | 93111-2055
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Country | US
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Telephone | 805-964-0378
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Fax | 805-964-4510
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 48705
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License Number State | CA
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