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General NPI Number Information
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NPI Number | 1447685029
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Entity Type | Individual
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Provider Name | BRANDON A MARKEL PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 09/13/2013
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Last Update Date | 12/08/2015
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Provider Practice Location Address
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Address Line | 1020 N 12TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53233-1308
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Country | US
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Telephone | 414-219-6810
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Fax |
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Provider Business Mailing Address
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Address Line | 1020 N 12TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53233-1308
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Country | US
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Telephone | 414-219-6810
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1845
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 53 934
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071.008706
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3201-57
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License Number State | WI
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