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General NPI Number Information
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NPI Number | 1275814469
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Entity Type | Individual
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Provider Name | BRANDY LEE THOMAS RN, CNM, MSN
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Gender | Female
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Dates
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Enumeration Date | 09/01/2011
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 5323 4TH AVENUE CIR E
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City | BRADENTON
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State | FL
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Zip | 34208-5623
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Country | US
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Telephone | 941-745-5115
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Fax | 941-750-6543
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Provider Business Mailing Address
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Address Line | PO BOX 818018
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City | CLEVELAND
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State | OH
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Zip | 44181-8018
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Country | US
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Telephone | 561-300-2410
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Fax | 561-953-4150
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | ARNP9235061
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License Number State | FL
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