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General NPI Number Information
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NPI Number | 1629355698
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Entity Type | Individual
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Provider Name | BRANDY MICHELLE ROBERTS MSN, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/04/2011
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 7710 GARTH RD STE A
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City | BAYTOWN
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State | TX
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Zip | 77521-8809
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Country | US
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Telephone | 281-783-8162
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Fax |
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Provider Business Mailing Address
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Address Line | 16821 HIGHWAY 146 N
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City | LIBERTY
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State | TX
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Zip | 77575-6948
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Country | US
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Telephone | 936-253-9594
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP120895
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License Number State | TX
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