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General NPI Number Information
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NPI Number | 1013138726
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Entity Type | Organization
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Legal Business Name | BRENDAN C. ALBRACHT, D.O.,P.A.
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 08/22/2011
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Provider Practice Location Address
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Address Line | 1901 MEDI PARK DR SUITE 103
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City | AMARILLO
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State | TX
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Zip | 79106-2110
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Country | US
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Telephone | 806-242-6637
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Fax | 806-242-6007
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Provider Business Mailing Address
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Address Line | 1901 MEDI PARK DR SUITE 103
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City | AMARILLO
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State | TX
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Zip | 79106-2110
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Country | US
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Telephone | 806-242-6637
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Fax | 806-242-6007
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Authorized Official
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Title or Position | OWNER
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Name | BRENDAN C ALBRACHT
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Credential | D.O.
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Telephone | 806-935-6300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | K7966
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License Number State | TX
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