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General NPI Number Information
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NPI Number | 1114351905
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Entity Type | Individual
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Provider Name | JENNIFER L BRAMAN LMSW
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Gender | Female
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Dates
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Enumeration Date | 08/28/2013
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 130 W WOOD ST
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City | NEWAYGO
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State | MI
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Zip | 49337-8991
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Country | US
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Telephone | 231-206-6159
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Fax |
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Provider Business Mailing Address
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Address Line | 5169 E MANITOU WAY
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City | NEWAYGO
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State | MI
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Zip | 49337-8710
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Country | US
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Telephone | 231-245-6693
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Fax |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801104962
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License Number State | MI
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