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General NPI Number Information
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NPI Number | 1174598841
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Entity Type | Individual
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Provider Name | CONSTANCE H BRAUN FNP
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Gender | Female
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 08/06/2013
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Provider Practice Location Address
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Address Line | 15290 PENNOCK LN MAIL STOP 32200A
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City | APPLE VALLEY
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State | MN
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Zip | 55124-7163
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Country | US
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Telephone | 952-431-8500
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Fax | 952-431-6966
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Provider Business Mailing Address
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Address Line | 15290 PENNOCK LN
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City | APPLE VALLEY
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State | MN
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Zip | 55124-7163
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Country | US
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Telephone | 952-431-8500
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Fax | 952-883-5395
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 100711
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License Number State | MN
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