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General NPI Number Information
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NPI Number | 1396692463
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Entity Type | Individual
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Provider Name | EMILY BRANDON
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Gender | Female
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 13326 N BOULEVARD ST
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City | VICKSBURG
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State | MI
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Zip | 49097-1514
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Country | US
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Telephone | 517-528-5582
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Fax |
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Provider Business Mailing Address
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Address Line | 725 SUNBRIGHT AVE
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City | PORTAGE
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State | MI
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Zip | 49024-2759
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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