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General NPI Number Information
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NPI Number | 1699018713
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Entity Type | Individual
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Provider Name | BRANDON MACFRE NODDINGS
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Gender | Male
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Dates
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Enumeration Date | 03/27/2013
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Last Update Date | 03/27/2013
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Provider Practice Location Address
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Address Line | 1615 NW 13TH ST
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City | GAINESVILLE
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State | FL
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Zip | 32609-3418
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Country | US
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Telephone | 352-380-9039
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Fax |
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Provider Business Mailing Address
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Address Line | 5342 ISLAND GYPSY DR
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City | GREENACRES
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State | FL
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Zip | 33463-5955
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Country | US
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Telephone | 561-452-4310
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS49806
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License Number State | FL
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