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General NPI Number Information
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NPI Number | 1881115723
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Entity Type | Individual
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Provider Name | BRANDON MARIE SALE APRN
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Gender | Female
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Dates
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Enumeration Date | 06/30/2017
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Last Update Date | 06/30/2017
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Provider Practice Location Address
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Address Line | 2231 JORDAN AVE
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City | JUNEAU
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State | AK
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Zip | 99801-8050
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Country | US
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Telephone | 907-789-1812
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Fax |
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Provider Business Mailing Address
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Address Line | 2231 JORDAN AVE
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City | JUNEAU
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State | AK
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Zip | 99801-8050
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Country | US
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Telephone | 334-796-6969
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 123047
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 129495
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 124160
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License Number State | AK
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