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General NPI Number Information
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NPI Number | 1255541991
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Entity Type | Individual
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Provider Name | HEATHER BRANDON HEATHER BRANDON, OT
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 640 JACKSON ST
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City | SAINT PAUL
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State | MN
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Zip | 55101-2502
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Country | US
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Telephone | 651-254-3456
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Fax |
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Provider Business Mailing Address
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Address Line | 15131 FRENCH DR N
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City | HUGO
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State | MN
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Zip | 55038-6301
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Country | US
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Telephone | 352-281-7857
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 9179
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 3372
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 3090
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1064567
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2256
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License Number State | NM
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Taxonomy #6
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1736
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License Number State | AK
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Taxonomy #7
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119004159
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License Number State | VA
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Taxonomy #8
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 12092
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 01056
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License Number State | RI
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Taxonomy #10
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | 104314
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License Number State | MN
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