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General NPI Number Information
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NPI Number | 1043577554
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Entity Type | Individual
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Provider Name | BRANDON BARNETTE D.C.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2012
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Last Update Date | 06/30/2016
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Provider Practice Location Address
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Address Line | 2218 N MAIN ST
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City | SANTA ANA
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State | CA
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Zip | 92706-2704
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Country | US
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Telephone | 714-833-6381
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Fax | 714-845-9923
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Provider Business Mailing Address
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Address Line | 2218 N MAIN ST
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City | SANTA ANA
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State | CA
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Zip | 92706-2704
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Country | US
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Telephone | 714-833-6381
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Fax | 714-845-9923
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 33550
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License Number State | CA
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