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General NPI Number Information
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NPI Number | 1780256297
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Entity Type | Individual
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Provider Name | BRANDIE DARLENE BARTOS FNP
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Gender | Female
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Dates
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Enumeration Date | 07/14/2021
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Last Update Date | 12/22/2023
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Provider Practice Location Address
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Address Line | 6220 GEORGETOWN BLVD STE C
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City | ELDERSBURG
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State | MD
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Zip | 21784-6417
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Country | US
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Telephone | 144-353-6571
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Fax | 833-906-2570
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Provider Business Mailing Address
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Address Line | 12820 FOREST CREEK CT
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City | SYKESVILLE
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State | MD
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Zip | 21784-5526
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Country | US
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Telephone | 443-536-5712
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Fax | 833-906-2570
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R209741
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License Number State | MD
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