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General NPI Number Information
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NPI Number | 1598733420
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Entity Type | Individual
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Provider Name | LINDA M BRANTNER MD
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Gender | Female
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | MADIGAN ARMY MEDICAL CENTER MCHJ-P: ATTENTION DR. LINDA BRANTNER
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City | TACOMA
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State | WA
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Zip | 98431-0001
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Country | US
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Telephone | 253-968-3066
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Fax | 253-968-0384
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Provider Business Mailing Address
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Address Line | 5142 SUNSET CT NE
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City | OLYMPIA
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State | WA
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Zip | 98516-1199
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Country | US
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Telephone | 360-456-7860
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | MD00033192
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License Number State | WA
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