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General NPI Number Information
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NPI Number | 1033169073
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Entity Type | Individual
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Provider Name | BRANDON CARR PA-C
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 04/02/2024
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Provider Practice Location Address
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Address Line | 541 STEINER ST APT 4
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-2574
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Country | US
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Telephone | 510-735-7190
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Fax | 510-735-7190
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Provider Business Mailing Address
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Address Line | 541 STEINER ST APT 4
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City | SAN FRANCISCO
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State | CA
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Zip | 94117-2574
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Country | US
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Telephone | 510-735-7190
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Fax | 510-735-7190
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA18557
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License Number State | CA
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