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General NPI Number Information
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NPI Number | 1942427828
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Entity Type | Individual
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Provider Name | BRANDON SCOTT REHRER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/03/2010
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Provider Practice Location Address
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Address Line | 3215 SE 192ND AVE STE 112
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City | VANCOUVER
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State | WA
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Zip | 98683-1469
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Country | US
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Telephone | 360-256-7100
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Fax | 360-256-8886
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Provider Business Mailing Address
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Address Line | 3215 SE 192ND AVE STE 112
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City | VANCOUVER
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State | WA
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Zip | 98683-1469
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Country | US
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Telephone | 360-256-7100
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Fax | 360-256-8886
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DE60129279
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License Number State | WA
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