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General NPI Number Information
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NPI Number | 1235179821
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Entity Type | Individual
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Provider Name | GEORGE BRAFF MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 600 SAINT JOHNSBURY RD
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City | LITTLETON
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State | NH
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Zip | 03561-3442
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Country | US
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Telephone | 603-444-9577
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Fax |
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Provider Business Mailing Address
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Address Line | 17-17 ROUTE 208 G BRAFF ROBERT GAREY CPA PC
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City | FAIR LAWN
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State | NJ
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Zip | 07410-2820
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Country | US
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Telephone | 201-796-6400
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Fax | 201-796-4110
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 11863
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License Number State | NH
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