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General NPI Number Information
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NPI Number | 1942546270
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Entity Type | Organization
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Legal Business Name | BRITT DENTAL LLC
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Dates
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Enumeration Date | 12/13/2012
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Last Update Date | 12/13/2012
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Provider Practice Location Address
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Address Line | 1771 NW BURDETT CROSSING
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City | BLUE SPRINGS
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State | MO
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Zip | 65014-1610
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Country | US
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Telephone | 816-228-0001
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Fax | 816-228-5576
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Provider Business Mailing Address
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Address Line | 1771 NW BURDETT CROSSING
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City | BLUE SPRINGS
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State | MO
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Zip | 65014-1610
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Country | US
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Telephone | 816-228-0001
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Fax | 816-228-5576
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Authorized Official
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Title or Position | DENTIST
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Name | DR. DAVID CORNELIUS BRITT
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Credential | D.D.S.
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Telephone | 816-769-6055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2008014715
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License Number State | MO
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