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General NPI Number Information
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NPI Number | 1679869424
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Entity Type | Individual
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Provider Name | BRYANNE BRANDT MSORT/L
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Gender | Female
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 10/08/2023
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Provider Practice Location Address
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Address Line | 235 OLD WATERFORD RD NW
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City | LEESBURG
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State | VA
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Zip | 20176-2117
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Country | US
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Telephone | 703-771-4059
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Fax |
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Provider Business Mailing Address
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Address Line | 24 FENTON WOOD DR
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City | STERLING
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State | VA
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Zip | 20165-5718
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Country | US
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Telephone | 404-805-7537
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2140
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT01223
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT006143
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT.007925
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 08446
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 017042-01
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 9528
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License Number State | NC
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Taxonomy #8
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 258571
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License Number State | OR
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Taxonomy #9
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 115853
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License Number State | TX
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Taxonomy #10
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OC012198
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License Number State | PA
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Taxonomy #11
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0119007714
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License Number State | VA
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