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General NPI Number Information
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NPI Number | 1871719989
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Entity Type | Individual
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Provider Name | BARBARA JO BRANDES PHD, LCSW, LSOTP
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Gender | Female
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 05/27/2011
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Provider Practice Location Address
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Address Line | 3701 OUTLET CENTER DR SUITE 90
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City | SEALY
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State | TX
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Zip | 77474-4904
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Country | US
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Telephone | 979-885-8578
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Fax | 979-885-3275
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Provider Business Mailing Address
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Address Line | PO BOX 1205
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City | SEALY
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State | TX
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Zip | 77474-1205
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Country | US
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Telephone | 979-885-3489
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 40766
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License Number State | TX
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