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General NPI Number Information
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NPI Number | 1578425237
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Entity Type | Individual
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Provider Name | BRYANA MON'A BRAMMER
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Gender | Female
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1032 RUGBY BLVD NW
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City | ROANOKE
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State | VA
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Zip | 24017-3812
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Country | US
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Telephone | 443-761-0198
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Fax | 877-241-1001
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Provider Business Mailing Address
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Address Line | 1032 RUGBY BLVD NW 1032 RUGBY BLVD NW
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City | ROANOKE
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State | VA
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Zip | 24017-3812
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Country | US
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Telephone |
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Fax | 877-241-1004
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0002098831
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License Number State | VA
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