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General NPI Number Information
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NPI Number | 1578448445
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Entity Type | Individual
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Provider Name | MICHAEL BRAND NBC-HWC
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Gender | Male
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Dates
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Enumeration Date | 08/08/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 10693 MELODY DR
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City | NORTHGLENN
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State | CO
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Zip | 80234-4113
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Country | US
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Telephone | 912-602-9665
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Fax |
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Provider Business Mailing Address
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Address Line | 4540 E 109TH AVE
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City | THORNTON
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State | CO
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Zip | 80233-5404
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Country | US
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Telephone | 912-602-9665
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | A-3815719
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License Number State |
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