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General NPI Number Information
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NPI Number | 1942498605
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Entity Type | Individual
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Provider Name | DEIDRA A BRUMFIELD D.C.
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Gender | Female
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 07/15/2021
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Provider Practice Location Address
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Address Line | 3857 TEAYS VALLEY RD
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City | HURRICANE
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State | WV
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Zip | 25526-0328
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Country | US
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Telephone | 304-519-9270
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Fax | 304-519-9271
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Provider Business Mailing Address
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Address Line | 3857 TEAYS VALLEY RD
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City | HURRICANE
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State | WV
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Zip | 25526-0328
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Country | US
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Telephone | 304-519-9270
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Fax | 304-519-9271
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3743
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4164
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 249484
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 897
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License Number State | WV
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