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General NPI Number Information
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NPI Number | 1144316704
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Entity Type | Individual
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Provider Name | BENJAMIN R BRASHEAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 04/28/2022
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Provider Practice Location Address
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Address Line | 2300 COMMERCE WAY
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City | KAUFMAN
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State | TX
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Zip | 75142-7361
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Country | US
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Telephone | 972-932-8555
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 COMMERCE WAY
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City | KAUFMAN
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State | TX
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Zip | 75142-7361
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Country | US
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Telephone | 972-932-8555
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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 | L4871
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License Number State | TX
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