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General NPI Number Information
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NPI Number | 1528057544
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Entity Type | Individual
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Provider Name | BRANDY N WELCH MD
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Gender | Female
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 2875 MAIN ST STE 104
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City | FRISCO
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State | TX
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Zip | 75036-4594
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Country | US
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Telephone | 214-872-1877
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Fax | 214-872-3114
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Provider Business Mailing Address
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Address Line | PO BOX 961205
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City | FORT WORTH
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State | TX
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Zip | 76161-0205
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Country | US
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Telephone | 817-740-8400
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | P7227
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License Number State | TX
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