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General NPI Number Information
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NPI Number | 1891256459
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Entity Type | Individual
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Provider Name | BRANDON ANTHONY JONES NP-C
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Gender | Male
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 03/27/2019
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Provider Practice Location Address
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Address Line | 3000 OLD HWY 75
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City | BUTNER
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State | NC
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Zip | 27509
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Country | US
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Telephone | 919-575-4541
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Fax |
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Provider Business Mailing Address
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Address Line | 1617 NEW SHARON CHURCH RD
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-8800
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Country | US
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Telephone | 757-971-1720
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | JONE-XJ5H9O
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License Number State | NC
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