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General NPI Number Information
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NPI Number | 1255631065
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Entity Type | Individual
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Provider Name | JANICE MARIE BRALY LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/26/2010
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Last Update Date | 03/14/2023
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Provider Practice Location Address
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Address Line | 531 E OLIVE AVE
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City | TURLOCK
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State | CA
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Zip | 95380-4012
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Country | US
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Telephone | 209-209-5278
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 156
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City | GUSTINE
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State | CA
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Zip | 95322-0156
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Country | US
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Telephone | 209-752-4176
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 131959
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License Number State | CA
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