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General NPI Number Information
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NPI Number | 1093261943
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Entity Type | Individual
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Provider Name | BRANDON ANDERSON PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 1300 HOSPITAL LOOP
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City | BELCOURT
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State | ND
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Zip | 58316-7712
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Country | US
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Telephone | 218-333-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 15106 YELLOW PINE ST NW
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City | ANDOVER
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State | MN
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Zip | 55304-2642
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Country | US
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Telephone | 763-258-4239
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 3847
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License Number State | WY
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