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General NPI Number Information
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NPI Number | 1831444843
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Entity Type | Individual
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Provider Name | TRENTON D BRATTON FNP-C
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Gender | Male
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Dates
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Enumeration Date | 07/16/2012
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Last Update Date | 01/20/2021
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Provider Practice Location Address
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Address Line | 500 HART ST
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City | MONROE
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State | LA
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Zip | 71201-7504
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Country | US
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Telephone | 318-966-1382
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Fax | 318-322-6530
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Provider Business Mailing Address
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Address Line | PO BOX 3064
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City | MONROE
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State | LA
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Zip | 71210-3064
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Country | US
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Telephone | 318-966-1382
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Fax | 318-322-6530
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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 | AP06989
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License Number State | LA
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