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NPI 1053964544

NPI 1053964544 : BRIAN MATTHEW ARMSTRONG FNP-C : SPRINGFIELD, MO

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General NPI Number Information
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    NPI Number           |    1053964544
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    Entity Type          |    Individual 
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    Provider Name        |    BRIAN MATTHEW ARMSTRONG FNP-C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/23/2019
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    Last Update Date     |    04/16/2025
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Provider Practice Location Address
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    Address Line         |    3524 S CULPEPPER CIR 
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    City                 |    SPRINGFIELD
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    State                |    MO
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    Zip                  |    65804-4270
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    Country              |    US
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    Telephone            |    417-827-0275
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2160 HIGHWAY Z 
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    City                 |    HALF WAY
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    State                |    MO
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    Zip                  |    65663-9243
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    Country              |    US
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    Telephone            |    417-827-0275
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    2014004848
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    License Number State |    MO
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    2019030578
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    License Number State |    MO
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