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General NPI Number Information
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NPI Number | 1396469052
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Entity Type | Individual
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Provider Name | BRANDON RODES SCHWEDER MSN, NP, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 09/27/2022
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 3288 ROBINHOOD RD STE 202
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City | WINSTON SALEM
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State | NC
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Zip | 27106-5464
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Country | US
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Telephone | 336-575-1925
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Fax |
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Provider Business Mailing Address
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Address Line | 994 W 2ND ST UNIT 355
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City | WINSTON SALEM
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State | NC
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Zip | 27101-3898
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Country | US
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Telephone | 859-967-9698
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0000257359
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5016958
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License Number State | NC
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