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General NPI Number Information
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NPI Number | 1588645782
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Entity Type | Organization
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Legal Business Name | KAREN GAIL BRANDSE MD & ASSOC
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 67 UNION ST
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City | NATICK
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State | MA
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Zip | 01760-7700
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Country | US
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Telephone | 508-650-7640
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Fax | 508-650-7814
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Provider Business Mailing Address
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Address Line | 460 TOTTEN POND RD C O MZI
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City | WALTHAM
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State | MA
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Zip | 02451-1906
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Country | US
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Telephone | 781-890-9933
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Fax | 781-890-9950
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Authorized Official
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Title or Position | PRESIDENT
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Name | KAREN GAIL BRANDSE
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Credential | MD
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Telephone | 508-650-7640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 153726
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License Number State | MA
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