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General NPI Number Information
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NPI Number | 1699925941
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Entity Type | Organization
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Legal Business Name | RICHARD D. BRAND, M.D., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 10/12/2018
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Provider Practice Location Address
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Address Line | 2241 WANKEL WAY STE B
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City | OXNARD
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State | CA
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Zip | 93030-0191
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Country | US
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Telephone | 805-983-0425
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Fax | 805-983-0414
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Provider Business Mailing Address
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Address Line | 2241 WANKEL WAY STE B
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City | OXNARD
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State | CA
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Zip | 93030-0191
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Country | US
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Telephone | 805-983-0425
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Fax | 805-983-0414
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. RICAHRD DANIEL BRAND
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Credential | M.D.
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Telephone | 805-983-0425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | G30006
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License Number State | CA
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