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General NPI Number Information
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NPI Number | 1043129083
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Entity Type | Organization
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Legal Business Name | IRINA BRANSTETER LLC
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Dates
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Enumeration Date | 09/04/2026
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Last Update Date | 09/04/2026
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Provider Practice Location Address
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Address Line | 2039 WOOSTER RD APT D36
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City | ROCKY RIVER
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State | OH
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Zip | 44116-2648
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Country | US
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Telephone | 216-488-5487
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Fax |
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Provider Business Mailing Address
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Address Line | 2039 WOOSTER RD APT D36
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City | ROCKY RIVER
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State | OH
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Zip | 44116-2648
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Country | US
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Telephone | 216-488-5487
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | IRINA BRANSTETER
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Credential | PHD
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Telephone | 216-488-5487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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