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General NPI Number Information
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NPI Number | 1902974892
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Entity Type | Individual
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Provider Name | DAVID J BRAZON DDS
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Gender | Male
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 11/06/2009
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Provider Practice Location Address
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Address Line | 401 BROAD AVE
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City | BELLE VERNON
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State | PA
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Zip | 15012-1403
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Country | US
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Telephone | 724-929-6890
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Fax | 724-930-7414
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Provider Business Mailing Address
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Address Line | 401 BROAD AVE
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City | BELLE VERNON
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State | PA
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Zip | 15012-1403
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Country | US
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Telephone | 724-929-6890
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Fax | 724-930-7414
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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 | DS-022277-L
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License Number State | PA
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