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General NPI Number Information
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NPI Number | 1063401412
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Entity Type | Individual
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Provider Name | ROBERT J BRAUER DO
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Gender | Male
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 2351 E 22ND ST PSYCHIATRY DEPT
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City | CLEVELAND
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State | OH
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Zip | 44115-3111
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Country | US
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Telephone | 216-363-2538
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Fax | 216-694-4604
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Provider Business Mailing Address
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Address Line | PO BOX 932127
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City | CLEVELAND
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State | OH
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Zip | 44194-0001
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Country | US
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Telephone | 216-472-2730
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Fax | 216-472-2740
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 34 007242
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 34.007242
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License Number State | OH
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