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General NPI Number Information
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NPI Number | 1841088846
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Entity Type | Individual
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Provider Name | BRANDON MICHAEL PERROTTE RN
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Gender | Male
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 105 NASON DR
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City | ROARING SPRING
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State | PA
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Zip | 16673-1202
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Country | US
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Telephone | 814-224-2141
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Fax |
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Provider Business Mailing Address
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Address Line | 133 CONDO DR
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City | BEDFORD
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State | PA
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Zip | 15522-1301
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Country | US
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Telephone | 412-390-8802
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN690440
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 153341
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License Number State | PA
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