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NPI 1992783419

NPI 1992783419 : PATRICK JOSEPH BRANDNER M.D. : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1992783419
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICK JOSEPH BRANDNER M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/04/2006
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    Last Update Date     |    12/31/2013
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Provider Practice Location Address
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    Address Line         |    2800 E DESERT INN RD SUITE 100
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89121-3608
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    Country              |    US
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    Telephone            |    702-731-1616
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    Fax                  |    702-731-0741
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Provider Business Mailing Address
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    Address Line         |    PO BOX 50509 
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89016-0509
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    Country              |    US
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    Telephone            |    702-731-1616
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    Fax                  |    702-731-0741
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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        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    4497
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    License Number State |    NV
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