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General NPI Number Information
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NPI Number | 1679473458
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Entity Type | Organization
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Legal Business Name | B R CONSTRUCTION
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Dates
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Enumeration Date | 11/06/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 410 MAUMEE RD
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City | WAXAHACHIE
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State | TX
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Zip | 75165-6429
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Country | US
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Telephone | 469-260-9005
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Fax | 469-820-9027
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Provider Business Mailing Address
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Address Line | 410 MAUMEE RD
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City | WAXAHACHIE
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State | TX
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Zip | 75165-6429
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Country | US
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Telephone | 469-260-9005
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Fax | 469-820-9027
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Authorized Official
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Title or Position | SECRETARY
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Name | BRENDA MENDIOLA
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Credential |
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Telephone | 469-260-9005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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