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General NPI Number Information
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NPI Number | 1871054569
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Entity Type | Individual
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Provider Name | BRANDON CHASE NEELEY MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 4607 MACCORKLE AVE SW STE 400
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City | SOUTH CHARLESTON
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State | WV
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Zip | 25309-1364
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Country | US
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Telephone | 304-767-7900
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Fax | 304-414-7437
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Provider Business Mailing Address
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Address Line | 4607 MACCORKLE AVE SW STE 400
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City | SOUTH CHARLESTON
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State | WV
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Zip | 25309-1364
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Country | US
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Telephone | 304-767-7900
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Fax | 304-414-7437
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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 | 2084E0001X
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Taxonomy Name | Epilepsy Physician
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License Number | 67945
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 35488
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License Number State | WV
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