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General NPI Number Information
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NPI Number | 1952254419
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Entity Type | Individual
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Provider Name | WILLIAM JOSEPH BRANDON II RN, BSN
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Gender | Male
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 1970 ROANOKE BLVD
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City | SALEM
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State | VA
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Zip | 24153-6404
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Country | US
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Telephone | 540-982-2463
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Fax |
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Provider Business Mailing Address
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Address Line | 641 BAINBRIDGE LN
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City | IDAHO FALLS
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State | ID
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Zip | 83402-4757
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Country | US
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Telephone | 704-214-0643
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 77715
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License Number State | ID
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