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General NPI Number Information
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NPI Number | 1790526168
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Entity Type | Individual
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Provider Name | BRANDON CADE SAUNDERS LMT
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Gender | Male
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Dates
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Enumeration Date | 06/01/2024
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Last Update Date | 06/01/2024
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Provider Practice Location Address
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Address Line | 116 E SOUTH ST
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City | LONGVIEW
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State | TX
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Zip | 75601-7437
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Country | US
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Telephone | 903-231-1911
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Fax |
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Provider Business Mailing Address
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Address Line | 3102 CROSSROADS DR
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City | LONGVIEW
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State | TX
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Zip | 75605-2022
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Country | US
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Telephone | 903-629-5846
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 142180
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License Number State | TX
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