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General NPI Number Information
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NPI Number | 1558073841
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Entity Type | Individual
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Provider Name | BRANDON STERLING PASSMORE
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Gender | Male
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Dates
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Enumeration Date | 12/19/2022
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 800 N JUSTICE ST
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-3410
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Country | US
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Telephone | 828-696-4250
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Fax |
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Provider Business Mailing Address
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Address Line | 7 WYATT ST
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City | ASHEVILLE
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State | NC
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Zip | 28803-1518
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Country | US
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Telephone | 828-318-3494
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 272246
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5017580
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License Number State | NC
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