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General NPI Number Information
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NPI Number | 1487358834
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Entity Type | Individual
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Provider Name | BRANDON SIMMS
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Gender | Male
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Dates
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Enumeration Date | 03/29/2023
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 3001 S HANOVER ST
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City | BALTIMORE
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State | MD
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Zip | 21225-1290
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Country | US
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Telephone | 410-350-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 6224 FAIR OAKS AVE
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City | BALTIMORE
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State | MD
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Zip | 21214-1513
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Country | US
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Telephone | 443-854-8362
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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 | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | R236677
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License Number State | MD
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