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General NPI Number Information
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NPI Number | 1477996155
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Entity Type | Individual
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Provider Name | BRANDON W BARRETT DPM
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Gender | Male
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Dates
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Enumeration Date | 04/11/2013
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Last Update Date | 12/17/2021
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Provider Practice Location Address
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Address Line | 330 MOUNT AUBURN ST SOUTH 2-DEPARTMENT OF SURGERY
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City | CAMBRIDGE
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State | MA
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Zip | 02138-5502
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Country | US
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Telephone | 617-497-2420
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Fax | 617-499-5593
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Provider Business Mailing Address
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Address Line | 1580 SKEET CLUB RD
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City | HIGH POINT
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State | NC
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Zip | 27265-9530
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Country | US
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Telephone | 336-883-0029
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Fax | 336-899-2176
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 1305
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 660
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License Number State | NC
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