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General NPI Number Information
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NPI Number | 1104223122
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Entity Type | Individual
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Provider Name | DOROTHY BRAUN N.P.
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Gender | Female
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Dates
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Enumeration Date | 11/20/2014
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Last Update Date | 11/20/2014
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Provider Practice Location Address
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Address Line | 1101 SAM PERRY BLVD., SUITE 305 ENDOCRINOLOGY ASSOCIATES, TOMKINS-MARTIN MEDICAL PLAZA
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City | FREDERICKSBURG
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State | VA
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Zip | 22401
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Country | US
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Telephone | 540-374-3290
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Fax | 540-374-3289
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Provider Business Mailing Address
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Address Line | 12910 MACNEIL CT
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City | FREDERICKSBURG
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State | VA
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Zip | 22407-2274
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Country | US
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Telephone | 540-786-4913
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Fax | 540-741-2211
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 0024172079
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License Number State | VA
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