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NPI Code Detail

MEDICARE: CHANDA V BRAZNEY

MEDICARE: CHANDA V BRAZNEY
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
1106S00000XBehavior TechnicianBACB1168359MT

General Provider Information

NPI Number : 1184452013
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANDA V BRAZNEY
Provider Business Mailing Address
First Line : 801 15TH ST W LOWR
Second Line :
City : BILLINGS
State : MT
Zip : 59102-4175
Country : US
Telephone Number : 406-901-5000
Fax Number :
Provider Business Practice Location Address
First Line : 801 15TH ST W LOWR
Second Line :
City : BILLINGS
State : MT
Zip : 59102-4175
Country : US
Telephone Number : 406-901-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2024
Last Update Date : 07/23/2024

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Directions to “ CHANDA V BRAZNEY ” Practice Location

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