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General NPI Number Information
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NPI Number | 1124083290
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Entity Type | Organization
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Legal Business Name | SHARON M BRAMMER MAPC
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 06/21/2010
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Provider Practice Location Address
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Address Line | 306 MCCLANAHAN AVE SUITE A
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City | ROANOKE
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State | VA
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Zip | 24014-1720
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Country | US
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Telephone | 540-344-6101
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Fax | 540-344-5823
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Provider Business Mailing Address
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Address Line | PO BOX 4127
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City | ROANOKE
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State | VA
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Zip | 24015-0127
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Country | US
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Telephone | 540-981-9394
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Fax | 540-344-7154
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | MS. SHARON M BRAMMER
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Credential | LPC
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Telephone | 540-344-6101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701003742
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License Number State | VA
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