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General NPI Number Information
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NPI Number | 1255476628
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Entity Type | Individual
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Provider Name | LANI DENISE BRAUN M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 10/21/2019
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Provider Practice Location Address
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Address Line | 6037 KIMBERLY BLVD
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068
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Country | US
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Telephone | 954-379-8994
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Fax | 954-977-2711
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Provider Business Mailing Address
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Address Line | 1395 NW 167TH ST STE 136
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-5742
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Country | US
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Telephone | 305-628-6117
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 336-077323
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036116108
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME110401
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License Number State | FL
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