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General NPI Number Information
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NPI Number | 1881199578
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Entity Type | Individual
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Provider Name | AMANDA CHRISTINE BRANT MD
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Gender | Female
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 09/14/2025
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Provider Practice Location Address
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Address Line | 6777 W MAPLE RD
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-3013
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Country | US
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Telephone | 248-661-6425
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Fax | 248-325-0094
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Provider Business Mailing Address
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Address Line | 1 FORD PL STE 3A
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City | DETROIT
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State | MI
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Zip | 48202-3450
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Country | US
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Telephone | 313-874-4806
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Fax | 313-876-1305
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 50541
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 65935
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301514217
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 29215
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License Number State | MN
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