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General NPI Number Information
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NPI Number | 1225385982
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Entity Type | Individual
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Provider Name | BRANDON KEITH WARREN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/12/2012
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Last Update Date | 08/12/2012
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Provider Practice Location Address
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Address Line | 126 N CENTER ST
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City | HICKORY
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State | NC
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Zip | 28601-6215
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Country | US
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Telephone | 828-322-7717
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Fax | 828-322-3803
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Provider Business Mailing Address
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Address Line | 1898 THREE FORKS CHURCH RD
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City | TAYLORSVILLE
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State | NC
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Zip | 28681-4022
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Country | US
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Telephone | 828-302-7248
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 22466
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License Number State | NC
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