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General NPI Number Information
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NPI Number | 1538047204
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Entity Type | Individual
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Provider Name | BRANDON LEE PARKER CRNP
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Gender | Male
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 1300 S MONTGOMERY AVE
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City | SHEFFIELD
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State | AL
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Zip | 35660-6367
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Country | US
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Telephone | 256-386-4196
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Fax |
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Provider Business Mailing Address
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Address Line | 1475 COUNTY HIGHWAY 161
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City | HAMILTON
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State | AL
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Zip | 35570-3351
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Country | US
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Telephone | 205-495-5103
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-155312
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1-155312
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License Number State | AL
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