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General NPI Number Information
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NPI Number | 1699306662
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Entity Type | Individual
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Provider Name | BRANDON FARNINGTON
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Gender | Male
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Dates
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Enumeration Date | 01/29/2020
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 9400 W PARMER LN APT 1331
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City | AUSTIN
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State | TX
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Zip | 78717-4740
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Country | US
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Telephone | 650-272-1558
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Fax |
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Provider Business Mailing Address
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Address Line | 9686 MARBACH RD
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City | SAN ANTONIO
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State | TX
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Zip | 78245-1822
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Country | US
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Telephone | 210-645-6933
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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 | 73665
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License Number State | TX
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