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General NPI Number Information
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NPI Number | 1154228567
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Entity Type | Individual
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Provider Name | BRANDON TYLER PATE
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Gender | Male
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Dates
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Enumeration Date | 10/20/2026
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Last Update Date | 10/20/2026
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Provider Practice Location Address
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Address Line | 2559 120TH ST NW
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City | SWISHER
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State | IA
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Zip | 52338-9405
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Country | US
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Telephone | 319-270-4217
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Fax |
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Provider Business Mailing Address
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Address Line | 502 PENN CT
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City | NORTH LIBERTY
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State | IA
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Zip | 52317-9596
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Country | US
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Telephone |
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | PARA4002426
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License Number State | IA
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