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General NPI Number Information
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NPI Number | 1356250690
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Entity Type | Individual
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Provider Name | BOBBY DEAN BRANDENBURG RRT
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Gender | Male
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 5543 BELMONT DR
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City | SHAWNEE
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State | KS
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Zip | 66226-3623
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Country | US
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Telephone | 913-682-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 5543 BELMONT DR
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City | SHAWNEE
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State | KS
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Zip | 66226-3623
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Country | US
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Telephone | 913-682-2000
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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 | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number | 2000172597
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License Number State | MO
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