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General NPI Number Information
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NPI Number | 1235703497
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Entity Type | Organization
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Legal Business Name | THE SYLVIA BRAFMAN MENTAL HEALTH CENTER
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Dates
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Enumeration Date | 05/13/2021
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 7710 NW 71ST CT STE 101
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City | TAMARAC
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State | FL
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Zip | 33321-2930
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Country | US
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Telephone | 754-205-7619
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Fax |
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Provider Business Mailing Address
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Address Line | 7710 NW 71ST CT
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City | TAMARAC
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State | FL
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Zip | 33321-2973
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Country | US
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Telephone | 954-805-0177
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Fax |
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Authorized Official
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Title or Position | CEO / CO-FOUNDER
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Name | MR. JAMES K BLAUSTEIN
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Credential | MBA
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Telephone | 954-495-4020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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