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NPI 1568829604

NPI 1568829604 : BRANDON NOYES DO : FPO, AP

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General NPI Number Information
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    NPI Number           |    1568829604
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    Entity Type          |    Individual 
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    Provider Name        |    BRANDON NOYES DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/20/2016
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    Last Update Date     |    07/01/2026
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Provider Practice Location Address
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    Address Line         |    III MEF FORCE SURGEONS OFFICE 
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    City                 |    FPO
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    State                |    AP
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    Zip                  |    96382-5605
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    Country              |    US
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    Telephone            |    843-646-7918
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    III MEF FORCE SURGEONS OFFICE UNIT 35605
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    City                 |    FPO
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    State                |    AP
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    Zip                  |    96382-5605
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    Country              |    US
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    Telephone            |    
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    20A25567
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    0102204959
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    License Number State |    VA
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Taxonomy #3
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    DO-0134
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    License Number State |    GU
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