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General NPI Number Information
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NPI Number | 1598392920
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Entity Type | Individual
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Provider Name | BRANDON MICHAEL DE PAUL DO
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Gender | Male
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 6250 US HIGHWAY 83
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City | ABILENE
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State | TX
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Zip | 79606-5215
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Country | US
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Telephone | 325-428-1050
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Fax |
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Provider Business Mailing Address
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Address Line | 8701 W WATERTOWN PLANK RD FL 8
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City | MILWAUKEE
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State | WI
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Zip | 53226-3548
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Country | US
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Telephone | 414-955-0532
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Fax | 414-955-0093
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | V7863
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | V7863
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License Number State | TX
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