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General NPI Number Information
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NPI Number | 1891060042
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Entity Type | Individual
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Provider Name | BRANDY L MOBLEY L.V.N, I.B.C.L.C
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Gender | Female
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 03/20/2012
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Provider Practice Location Address
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Address Line | 2810 AVENUE C
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City | BROWNWOOD
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State | TX
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Zip | 76801-5216
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Country | US
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Telephone | 325-200-3273
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Fax |
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Provider Business Mailing Address
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Address Line | 2810 AVENUE C
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City | BROWNWOOD
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State | TX
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Zip | 76801-5216
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Country | US
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Telephone | 325-200-3273
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | 11151668
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License Number State | TX
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