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General NPI Number Information
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NPI Number | 1336455328
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Entity Type | Organization
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Legal Business Name | SHERRY BRAHENY, M.D., A PROF. CORP.
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 08/27/2010
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Provider Practice Location Address
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Address Line | 8851 CENTER DR SUITE 600
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City | LA MESA
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State | CA
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Zip | 91942-3017
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Country | US
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Telephone | 619-589-6106
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Fax | 619-589-0785
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Provider Business Mailing Address
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Address Line | 8851 CENTER DR SUITE 600
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City | LA MESA
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State | CA
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Zip | 91942-3017
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Country | US
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Telephone | 619-589-6106
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Fax | 619-589-0785
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHERRY LEE BRAHENY
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Credential | M.D.
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Telephone | 619-589-6106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | A30215
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License Number State | CA
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