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General NPI Number Information
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NPI Number | 1427348226
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Entity Type | Organization
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Legal Business Name | H. DAVID BRANNON, M.D., P.A.
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 04/13/2011
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Provider Practice Location Address
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Address Line | 408 MEDICAL PARK DR
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City | ATMORE
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State | AL
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Zip | 36502-3016
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Country | US
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Telephone | 251-368-6283
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Fax |
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Provider Business Mailing Address
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Address Line | 3312 N 18TH AVE
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City | PENSACOLA
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State | FL
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Zip | 32503-4135
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Country | US
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Telephone | 850-435-8878
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HORACE DAVID BRANNON
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Credential | M.D.
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Telephone | 251-368-6283
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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 |
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License Number State |
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