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General NPI Number Information
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NPI Number | 1972778678
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Entity Type | Organization
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Legal Business Name | DAVID BREHM, MD, PA
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Dates
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Enumeration Date | 04/24/2008
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Last Update Date | 04/24/2008
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Provider Practice Location Address
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Address Line | 6190 LBJ FWY SUITE 800
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City | DALLAS
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State | TX
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Zip | 75240
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Country | US
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Telephone | 972-851-0055
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Fax | 972-851-0066
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Provider Business Mailing Address
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Address Line | 6190 LBJ FWY SUITE 800
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City | DALLAS
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State | TX
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Zip | 75240
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Country | US
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Telephone | 972-851-0055
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Fax | 972-851-0066
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | NICOLE DEJA
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Credential |
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Telephone | 972-865-2285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | L0762
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License Number State | TX
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