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General NPI Number Information
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NPI Number | 1467918581
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Entity Type | Individual
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Provider Name | BRANDY M MCCAIN CRNP
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Gender | Female
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Dates
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Enumeration Date | 02/13/2019
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 1542 MEDICAL PARK CIR
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City | TUPELO
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State | MS
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Zip | 38801-6560
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Country | US
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Telephone | 662-844-4711
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Fax | 662-844-9619
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Provider Business Mailing Address
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Address Line | 874 BARNES CROSSING RD
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City | TUPELO
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State | MS
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Zip | 38804-0909
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Country | US
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Telephone | 662-841-0002
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F07180824
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License Number State | AL
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