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General NPI Number Information
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NPI Number | 1891343729
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Entity Type | Individual
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Provider Name | BRANDON THOMAS HAZLETT PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/04/2019
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 93 RICK RAMSEY ST
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City | MURPHY
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State | NC
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Zip | 28906-4199
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Country | US
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Telephone | 828-837-8804
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Fax | 828-835-9054
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Provider Business Mailing Address
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Address Line | 93 RICK RAMSEY ST
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City | MURPHY
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State | NC
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Zip | 28906-4199
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Country | US
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Telephone | 828-837-8804
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Fax | 828-835-9054
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 42166
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28661
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License Number State | NC
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