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General NPI Number Information
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NPI Number | 1356276075
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Entity Type | Individual
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Provider Name | BRENDAN MCFARLAND NURSE PRACTITIONER
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Gender | Male
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 11275 ALLEN RD
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City | SOUTHGATE
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State | MI
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Zip | 48195-3380
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Country | US
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Telephone | 313-383-7071
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Fax |
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Provider Business Mailing Address
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Address Line | 1535 DAVIS ST
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City | WYANDOTTE
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State | MI
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Zip | 48192-3617
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4704413273
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License Number State | MI
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