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General NPI Number Information
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NPI Number | 1548187958
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Entity Type | Individual
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Provider Name | VICTORIA MASHELLE BRANTLEY
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Gender | Female
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 414 LAKE HOWELL RD
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City | MAITLAND
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State | FL
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Zip | 32751-5900
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Country | US
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Telephone | 407-637-2633
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Fax |
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Provider Business Mailing Address
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Address Line | 5904 APPALOOSA WAY
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City | ORLANDO
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State | FL
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Zip | 32822-4207
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Country | US
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Telephone | 321-806-7213
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | FL
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