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General NPI Number Information
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NPI Number | 1851284616
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Entity Type | Individual
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Provider Name | BRANDI MULDROW DO
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Gender | Female
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 2122 MANCHESTER EXPY
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City | COLUMBUS
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State | GA
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Zip | 31904-6878
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Country | US
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Telephone | 706-596-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 198 WESTBERRY ST
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-6534
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Country | US
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Telephone | 951-704-3883
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 17168
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License Number State | GA
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