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General NPI Number Information
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NPI Number | 1164450680
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Entity Type | Individual
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Provider Name | RUDY F BRANTLEY RRT
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Gender | Male
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 717 LAMPLIGHT LN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-6534
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Country | US
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Telephone | 757-722-9961
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Fax |
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Provider Business Mailing Address
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Address Line | 717 LAMPLIGHT LN
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-6534
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Country | US
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Telephone | 757-722-9961
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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 | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2279C0205X
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Taxonomy Name | Critical Care Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2279E0002X
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Taxonomy Name | Emergency Care Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2279E1000X
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Taxonomy Name | Educational Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2279G0305X
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Taxonomy Name | Geriatric Care Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2279G1100X
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Taxonomy Name | General Care Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2279H0200X
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Taxonomy Name | Home Health Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2279P1004X
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Taxonomy Name | Pulmonary Diagnostics Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 2279P1005X
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Taxonomy Name | Pulmonary Rehabilitation Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 2279P3800X
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Taxonomy Name | Palliative/Hospice Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 2279P4000X
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Taxonomy Name | Patient Transport Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 2279S1500X
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Taxonomy Name | SNF/Subacute Care Registered Respiratory Therapist
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License Number |
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License Number State |
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