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General NPI Number Information
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NPI Number | 1619927720
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Entity Type | Individual
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Provider Name | BRANDON D POMEROY MD
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 4321 WASHINGTON ST SUITE 5300
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City | KANSAS CITY
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State | MO
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Zip | 64111-5961
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Country | US
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Telephone | 816-531-1234
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Fax | 816-531-0737
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Provider Business Mailing Address
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Address Line | 8551 BLUEJACKET ST
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City | LENEXA
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State | KS
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Zip | 66214-1656
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Country | US
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Telephone | 913-341-7985
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Fax | 913-341-7988
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 2001023021
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 04-27485
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License Number State | KS
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