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General NPI Number Information
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NPI Number | 1053899153
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Entity Type | Individual
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Provider Name | NADIYAH L BRANDON OT
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Gender | Female
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Dates
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Enumeration Date | 07/31/2018
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 1841 ARROW POINT DR
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City | SAINT LOUIS
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State | MO
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Zip | 63138
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Country | US
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Telephone | 314-708-9822
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Fax |
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Provider Business Mailing Address
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Address Line | 2847 OLDKNOW DR NW
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City | ATLANTA
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State | GA
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Zip | 30318
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Country | US
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Telephone | 314-371-7717
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 300688782
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 3000688782
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 3000688782
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License Number State | GA
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Taxonomy #9
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 105389953
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License Number State | MO
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Taxonomy #11
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #13
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #14
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 3000688782
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License Number State | MO
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