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General NPI Number Information
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NPI Number | 1366358897
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Entity Type | Individual
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Provider Name | BRANDON DANIELS
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Gender | Male
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 1990 ALLEN RD STE G
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City | GREENVILLE
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State | NC
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Zip | 27834-0058
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Country | US
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Telephone | 866-996-2772
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Fax | 281-241-6483
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Provider Business Mailing Address
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Address Line | 41 E 400 N # 333
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City | LOGAN
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State | UT
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Zip | 84321-4020
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Country | US
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Telephone | 866-996-2772
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Fax | 281-241-6483
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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