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General NPI Number Information
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NPI Number | 1902054497
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Entity Type | Individual
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Provider Name | BRANDY R CHARLES AUD
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Gender | Female
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 802 LANDMARK DR STE 119
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City | GLEN BURNIE
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State | MD
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Zip | 21061
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Country | US
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Telephone | 410-760-8840
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Fax | 410-367-2464
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Provider Business Mailing Address
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Address Line | 802 LANDMARK DR STE 119
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City | GLEN BURNIE
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State | MD
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Zip | 21061
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Country | US
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Telephone | 301-315-5888
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Fax | 301-315-5866
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AT006087
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 0560
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 01368
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License Number State | MD
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