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General NPI Number Information
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NPI Number | 1033342522
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Entity Type | Individual
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Provider Name | ADAM CHRISTOPHER BRANDL FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 08/31/2009
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 2200 NW 26TH ST
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City | OWATONNA
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State | MN
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Zip | 55060-5503
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Country | US
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Telephone | 507-444-5041
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Fax |
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Provider Business Mailing Address
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Address Line | 4867 OPAL LN NW
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City | ROCHESTER
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State | MN
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Zip | 55901-6544
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Country | US
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Telephone | 507-288-2400
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 647
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R 160388-8
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License Number State | MN
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