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General NPI Number Information
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NPI Number | 1487629762
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Entity Type | Individual
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Provider Name | GREGORY ALAN BRANDENBERG MD, PH.D.
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Gender | Male
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 07/19/2012
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Provider Practice Location Address
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Address Line | 1015 DUFF AVE MCFARLAND CLINIC, PC
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City | AMES
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State | IA
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Zip | 50010-3014
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Country | US
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Telephone | 515-239-4468
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Fax | 515-663-8683
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Provider Business Mailing Address
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Address Line | PO BOX 3014 1015 DUFF AVE MCFARLAND CLINIC, PC
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City | AMES
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State | IA
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Zip | 50010-3014
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Country | US
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Telephone | 515-239-4468
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Fax | 515-663-8683
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 35-08-5970-B
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 38061
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License Number State | IA
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