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General NPI Number Information
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NPI Number | 1487594362
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Entity Type | Individual
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Provider Name | BRANDON MICHAEL SUNAO TOMAS RN
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Gender | Male
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 3797 VIA DI GIROLAMO AVE
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City | HENDERSON
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State | NV
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Zip | 89052-0515
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Country | US
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Telephone | 808-220-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 3797 VIA DI GIROLAMO AVE
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City | HENDERSON
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State | NV
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Zip | 89052-0515
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Country | US
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Telephone | 808-220-6500
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 887211
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License Number State | NV
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