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General NPI Number Information
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NPI Number | 1073447710
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Entity Type | Individual
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Provider Name | BRANDY PARMER MOTR/L
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Gender | Female
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 805 N RICHARDSON AVE
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City | ROSWELL
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State | NM
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Zip | 88201-4920
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Country | US
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Telephone | 575-622-6260
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Fax |
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Provider Business Mailing Address
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Address Line | 1707 E GALLINA RD
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City | ROSWELL
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State | NM
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Zip | 88201-8967
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Country | US
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Telephone | 575-420-1013
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT-2026-0088
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License Number State | NM
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