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General NPI Number Information
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NPI Number | 1336936129
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Entity Type | Individual
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Provider Name | BRANDY FREIRE FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 16065 LAMONTE DR
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City | HAMMOND
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State | LA
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Zip | 70403-1405
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Country | US
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Telephone | 985-956-7771
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Fax |
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Provider Business Mailing Address
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Address Line | 2920 MARIETTA ST
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City | CHALMETTE
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State | LA
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Zip | 70043-3438
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Country | US
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Telephone | 504-723-7519
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 232635
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License Number State | LA
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