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General NPI Number Information
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NPI Number | 1295762219
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Entity Type | Individual
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Provider Name | CARLOS R BRAS PA-C
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Gender | Male
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 24 HOSPITAL AVE DANBURY HOSPITAL
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City | DANBURY
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State | CT
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Zip | 06810-6099
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Country | US
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Telephone | 203-739-7200
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Fax | 203-739-8749
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Provider Business Mailing Address
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Address Line | 11 ROSE CT
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City | LAGRANGEVILLE
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State | NY
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Zip | 12540-6245
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Country | US
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Telephone | 845-282-0470
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Fax | 203-739-8749
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 00770
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License Number State | CT
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