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General NPI Number Information
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NPI Number | 1043177744
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Entity Type | Organization
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Legal Business Name | BRAND NAME ENTERPRISE, LLC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 765 COORS ST
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City | GOLDEN
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State | CO
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Zip | 80401-4529
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Country | US
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Telephone | 402-238-5487
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Fax |
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Provider Business Mailing Address
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Address Line | 765 COORS ST
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City | GOLDEN
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State | CO
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Zip | 80401-4529
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Country | US
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Telephone | 402-238-5487
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ANGIE L BRAND
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Credential |
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Telephone | 402-238-5487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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