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NPI Code Detail

MEDICARE: BRANDY JAMES LPN

MEDICARE: BRANDY JAMES LPN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse114376OH

General Provider Information

NPI Number : 1144804410
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDY JAMES LPN
Provider Business Mailing Address
First Line : 8500 BILSTEIN BLVD
Second Line :
City : HAMILTON
State : OH
Zip : 45015-2218
Country : US
Telephone Number : 151-327-5427
Fax Number :
Provider Business Practice Location Address
First Line : 8500 BILSTEIN BLVD
Second Line :
City : HAMILTON
State : OH
Zip : 45015-2218
Country : US
Telephone Number : 151-327-5427
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2021
Last Update Date : 05/12/2021

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