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General NPI Number Information
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NPI Number | 1942601497
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Entity Type | Individual
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Provider Name | ADAM BRANCH APRN, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 09/15/2014
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 2105 SIDNEY BAKER ST STE 200
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City | KERRVILLE
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State | TX
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Zip | 78028-2563
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Country | US
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Telephone | 210-899-6730
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Fax | 833-776-0625
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Provider Business Mailing Address
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Address Line | 8435 WURZBACH RD STE 302
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3374
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Country | US
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Telephone | 210-899-6730
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Fax | 833-776-0625
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP130247
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP130247
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License Number State | TX
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