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General NPI Number Information
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NPI Number | 1912339888
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Entity Type | Individual
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Provider Name | BRANDON EMERSON FORBES M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/02/2013
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Last Update Date | 04/04/2018
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Provider Practice Location Address
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Address Line | 630 EATON AVE
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City | HAMILTON
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State | OH
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Zip | 45013-2767
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Country | US
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Telephone | 413-799-1413
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Fax |
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Provider Business Mailing Address
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Address Line | 7497 BURTON DR
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City | LIBERTY TOWNSHIP
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State | OH
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Zip | 45044-9030
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Country | US
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Telephone | 419-799-1413
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | 35.126649
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 57.023307
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35.126649
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License Number State | OH
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