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General NPI Number Information
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NPI Number | 1518282771
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Entity Type | Individual
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Provider Name | BRANDON MARCUS WILLIAMS P.T
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Gender | Male
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Dates
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Enumeration Date | 03/31/2010
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 3932 RANCH ROAD 620 S STE A
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City | BEE CAVE
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State | TX
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Zip | 78738-7177
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Country | US
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Telephone | 512-467-1100
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Fax | 512-467-1101
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Provider Business Mailing Address
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Address Line | 3101 DAVIS LN APT 5503
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City | AUSTIN
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State | TX
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Zip | 78748-5012
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Country | US
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Telephone | 512-944-2492
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1190372
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License Number State | TX
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