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General NPI Number Information
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NPI Number | 1588458996
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Entity Type | Individual
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Provider Name | BRANDON MARKS NRP
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Gender | Male
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 3120 LIME ST
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City | METAIRIE
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State | LA
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Zip | 70006-5310
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Country | US
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Telephone | 504-424-4444
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Fax |
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Provider Business Mailing Address
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Address Line | 1335 SIGUR AVE
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City | METAIRIE
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State | LA
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Zip | 70005-1219
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Country | US
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Telephone | 504-451-7988
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 4710-4076-4745
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 4710-4076-4745
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License Number State |
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