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General NPI Number Information
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NPI Number | 1932604477
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Entity Type | Individual
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Provider Name | BRENDAN J LANGFORD MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2018
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 3414 GOLDEN RD
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City | TYLER
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State | TX
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Zip | 75701-8336
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Country | US
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Telephone | 903-939-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 3414 GOLDEN RD
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City | TYLER
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State | TX
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Zip | 75701-8336
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Country | US
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Telephone | 903-939-7500
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 66155
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 65881
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 29175
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 29175
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | U0616
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License Number State | TX
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