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General NPI Number Information
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NPI Number | 1346549169
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Entity Type | Individual
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Provider Name | ERICA BRASWELL LPN
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Gender | Female
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Dates
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Enumeration Date | 03/18/2011
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Last Update Date | 03/18/2011
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Provider Practice Location Address
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Address Line | 801 E. WOODCROFT PARKWAY 2424
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City | DURHAM
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State | NC
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Zip | 27713
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Country | US
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Telephone | 919-530-0281
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Fax | 919-294-8987
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Provider Business Mailing Address
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Address Line | 801 E WOODCROFT PKWY 2424
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City | DURHAM
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State | NC
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Zip | 27713-8266
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Country | US
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Telephone | 919-530-0281
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Fax | 919-294-8987
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 61608
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License Number State | NC
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