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General NPI Number Information
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NPI Number | 1457715708
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Entity Type | Individual
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Provider Name | MRS. BRANDI LYNN BRANTON
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Gender | Female
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 9190 OAKHURST RD STE 3
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City | SEMINOLE
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State | FL
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Zip | 33776-2137
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Country | US
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Telephone | 727-798-2742
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Fax | 727-291-0043
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Provider Business Mailing Address
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Address Line | 9190 OAKHURST RD STE 3
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City | SEMINOLE
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State | FL
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Zip | 33776-2137
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Country | US
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Telephone | 727-798-2742
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Fax | 727-291-0043
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 21077
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 12012871
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License Number State | TN
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