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General NPI Number Information
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NPI Number | 1356065924
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Entity Type | Individual
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Provider Name | BRANDY NICOLE METZ APRN, AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/28/2022
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 4500 BELTWAY DR
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City | ADDISON
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State | TX
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Zip | 75001-3707
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Country | US
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Telephone | 469-332-5090
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Fax |
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Provider Business Mailing Address
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Address Line | 1009 JONIUS CREEK DR
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City | LITTLE ELM
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State | TX
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Zip | 75068-0390
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Country | US
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Telephone | 214-335-8700
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1088817
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License Number State | TX
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