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General NPI Number Information
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NPI Number | 1346137320
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Entity Type | Individual
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Provider Name | BRANDI LEIGH BRINKLEY CST, CSFA
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Gender |
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Dates
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Enumeration Date | 06/21/2025
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Last Update Date | 06/21/2025
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Provider Practice Location Address
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Address Line | 9330 MEDICAL PLAZA DR
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City | CHARLESTON
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State | SC
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Zip | 29406-9104
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Country | US
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Telephone | 843-797-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 188 GRANT DR
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City | DORCHESTER
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State | SC
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Zip | 29437-4316
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Country | US
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Telephone | 843-670-4156
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 201389
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License Number State | SC
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