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General NPI Number Information
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NPI Number | 1346269727
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Entity Type | Individual
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Provider Name | ROBERT E, BRASWELL D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 916 SE 164TH AVE STE 200
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City | VANCOUVER
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State | WA
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Zip | 98683-9602
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Country | US
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Telephone | 360-253-9482
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 873546
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City | VANCOUVER
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State | WA
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Zip | 98687-3546
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Country | US
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Telephone | 360-253-9482
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Fax | 360-253-5366
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH00002801
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License Number State | WA
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