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General NPI Number Information
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NPI Number | 1952501835
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Entity Type | Organization
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Legal Business Name | J. M. BRENNAN INC
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 07/19/2007
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Provider Practice Location Address
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Address Line | 2020 E MARKET ST
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City | AKRON
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State | OH
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Zip | 44312-1114
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Country | US
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Telephone | 330-733-7549
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Fax | 330-733-5181
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Provider Business Mailing Address
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Address Line | 2020 E MARKET ST
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City | AKRON
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State | OH
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Zip | 44312-1114
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Country | US
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Telephone | 330-733-7549
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Fax | 330-733-5181
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES MICHEAL BRENNAN
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Credential | D.D.S.
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Telephone | 330-733-7549
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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 | 18955
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 18486
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License Number State | OH
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