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NPI 1194534735

NPI 1194534735 : BRANDI NICOLE DANIELS PMHNP-BC : LEMOORE, CA

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General NPI Number Information
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    NPI Number           |    1194534735
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    Entity Type          |    Individual 
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    Provider Name        |    BRANDI NICOLE DANIELS PMHNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/07/2025
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    Last Update Date     |    08/11/2025
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Provider Practice Location Address
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    Address Line         |    937 FRANKLIN BLVD 
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    City                 |    LEMOORE
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    State                |    CA
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    Zip                  |    93246-4700
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    Country              |    US
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    Telephone            |    559-998-4262
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    12426 OBERON 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78245-4840
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    Country              |    US
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    Telephone            |    210-452-9335
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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        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    1170822
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    License Number State |    TX
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