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General NPI Number Information
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NPI Number | 1669482600
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Entity Type | Organization
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Legal Business Name | SARAH P. BRANNON OD PC
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 12100 KENNEDY LANE SUITE 206
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City | FREDERICKSBURG
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State | VA
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Zip | 22407
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Country | US
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Telephone | 540-785-3937
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Fax | 540-785-5498
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Provider Business Mailing Address
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Address Line | 12100 KENNEDY LANE SUITE 206
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City | FREDERICKSBURG
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State | VA
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Zip | 22407
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Country | US
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Telephone | 540-785-3937
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Fax | 540-785-5498
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Authorized Official
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Title or Position | PRESIDENT/OPTOMETRIST
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Name | DR. SARAH PILAT BRANNON
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Credential | OD
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Telephone | 540-785-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618000074
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License Number State | VA
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