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General NPI Number Information
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NPI Number | 1619491818
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Entity Type | Individual
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Provider Name | BRANDON JAMES BIGGS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/29/2017
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Last Update Date | 07/29/2017
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Provider Practice Location Address
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Address Line | 6501 LOISDALE CT
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City | SPRINGFIELD
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State | VA
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Zip | 22150-4908
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Country | US
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Telephone | 703-359-7878
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Fax |
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Provider Business Mailing Address
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Address Line | 250 S WHITING ST APT 1006
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City | ALEXANDRIA
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State | VA
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Zip | 22304-3655
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Country | US
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Telephone | 816-255-0353
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 0202215996
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License Number State | VA
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