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General NPI Number Information
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NPI Number | 1720278948
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Entity Type | Organization
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Legal Business Name | ALFREDO J BRAND MD PA
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 08/09/2011
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Provider Practice Location Address
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Address Line | 25 HOSPITAL CTR COMMON STE 200
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926
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Country | US
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Telephone | 843-689-5002
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Fax | 843-689-3690
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Provider Business Mailing Address
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Address Line | 25 HOSPITAL CTR COMMON STE 200
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926
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Country | US
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Telephone | 843-689-5002
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Fax | 843-689-3690
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALFREDO JORGE BRAND
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Credential | MD
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Telephone | 843-689-5002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 15685 SC
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License Number State | SC
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