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General NPI Number Information
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NPI Number | 1619936978
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Entity Type | Individual
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Provider Name | BRENDA M. BRANDON M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 5606 WEXFORD ROAD
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City | BALTIMORE
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State | MD
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Zip | 21209
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Country | US
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Telephone | 410-428-3322
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Fax | 410-997-8832
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Provider Business Mailing Address
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Address Line | 5606 WEXFORD ROAD
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City | BALTIMORE
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State | MD
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Zip | 21209
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Country | US
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Telephone | 410-428-3322
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Fax | 410-997-8832
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | D0032966
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License Number State | MD
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