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General NPI Number Information
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NPI Number | 1174931034
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Entity Type | Individual
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Provider Name | BRANDLYN NOFTSGER AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/23/2014
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 3030 RANDOLPH RD
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City | CHARLOTTE
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State | NC
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Zip | 28211-1368
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Country | US
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Telephone | 704-512-4450
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Fax |
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Provider Business Mailing Address
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Address Line | 138 FOGGY MEADOW LN
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City | FORT MILL
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State | SC
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Zip | 29708-8062
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Country | US
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Telephone | 386-235-9814
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 500705
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License Number State | NC
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