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General NPI Number Information
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NPI Number | 1285882621
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Entity Type | Individual
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Provider Name | OTMAR WOLF ALBRAND MD
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Gender | Male
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Dates
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Enumeration Date | 08/27/2008
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Last Update Date | 08/27/2008
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Provider Practice Location Address
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Address Line | 1202 WATERLOO LAKE DR
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City | DENISON
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State | TX
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Zip | 75020-5406
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Country | US
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Telephone | 903-465-8135
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Fax | 903-465-4859
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Provider Business Mailing Address
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Address Line | 1202 WATERLOO LAKE DR
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City | DENISON
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State | TX
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Zip | 75020-5406
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Country | US
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Telephone | 903-465-8135
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Fax | 903-465-4859
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | E4789
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License Number State | TX
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