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General NPI Number Information
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NPI Number | 1306086913
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Entity Type | Organization
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Legal Business Name | ALAN L. BRAUNSTEIN, PH.D., P.A.
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Dates
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Enumeration Date | 02/23/2009
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Last Update Date | 02/23/2009
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Provider Practice Location Address
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Address Line | 475 RAMBLEWOOD DR SUITE 101
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-7195
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Country | US
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Telephone | 954-753-9404
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Fax | 954-340-0741
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Provider Business Mailing Address
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Address Line | 475 RAMBLEWOOD DR SUITE 101
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-7195
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Country | US
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Telephone | 954-753-9404
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Fax | 954-340-0741
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN LEONARD BRAUNSTEIN
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Credential | PH.D.
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Telephone | 954-753-9404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PY3984
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License Number State | FL
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