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General NPI Number Information
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NPI Number | 1184908691
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Entity Type | Individual
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Provider Name | PUNEET SINGH BRAICH M.D., M.P.H.
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Gender | Male
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Dates
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Enumeration Date | 10/03/2011
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1104 N VERMILION ST
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City | DANVILLE
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State | IL
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Zip | 61832-3094
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Country | US
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Telephone | 217-442-2631
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Fax | 217-442-0119
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Provider Business Mailing Address
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Address Line | 1104 N VERMILION ST
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City | DANVILLE
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State | IL
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Zip | 61832-3094
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Country | US
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Telephone | 217-442-2631
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Fax | 217-442-0119
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 302643
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 036173641
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 14582
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License Number State | ND
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME127788
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License Number State | FL
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