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General NPI Number Information
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NPI Number | 1427645985
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Entity Type | Organization
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Legal Business Name | BRANDON L DANIELS MD LLC
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Dates
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Enumeration Date | 12/30/2020
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Last Update Date | 12/30/2020
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Provider Practice Location Address
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Address Line | 80 PHYSICIAN DR
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City | AIKEN
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State | SC
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Zip | 29801-6388
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Country | US
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Telephone | 803-426-6007
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Fax |
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Provider Business Mailing Address
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Address Line | 16639 TURTLE POINT RD
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City | CHARLOTTE
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State | NC
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Zip | 28278-8425
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Country | US
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Telephone | 803-426-6007
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Fax |
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Authorized Official
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Title or Position | MEDICAL PROVIDER
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Name | DR. BRANDON DANIELS
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Credential | MD
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Telephone | 803-426-6007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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