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General NPI Number Information
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NPI Number | 1427181783
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Entity Type | Organization
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Legal Business Name | LAUREL DIAGNOSTIC IMAGING, DRS. BRANDA & GREYSON, PA
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 9811 MALLARD DR STE 102
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City | LAUREL
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State | MD
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Zip | 20708-3180
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Country | US
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Telephone | 301-776-4777
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Fax | 301-776-2914
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Provider Business Mailing Address
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Address Line | 9811 MALLARD DR STE 102
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City | LAUREL
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State | MD
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Zip | 20708-3180
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Country | US
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Telephone | 301-776-4777
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Fax | 301-776-2914
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH F BRANDA
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Credential | MD
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Telephone | 301-776-4777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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