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General NPI Number Information
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NPI Number | 1780324913
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Entity Type | Individual
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Provider Name | BRANDEN NELSON
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Gender | Male
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Dates
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Enumeration Date | 03/29/2022
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Last Update Date | 11/17/2022
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Provider Practice Location Address
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Address Line | 325 N SAINT PAUL ST STE 3100
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City | DALLAS
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State | TX
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Zip | 75201-3923
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Country | US
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Telephone | 214-646-3499
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Fax | 847-296-3360
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Provider Business Mailing Address
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Address Line | 325 N SAINT PAUL ST STE 3100
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City | DALLAS
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State | TX
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Zip | 75201-3923
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Country | US
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Telephone | 214-646-3499
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Fax | 847-296-3360
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 80799
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License Number State | TX
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