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NPI 1376637231

NPI 1376637231 : DAVID ALLAN BRAUN DDS : EAST AURORA, NY

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General NPI Number Information
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    NPI Number           |    1376637231
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID ALLAN BRAUN DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/03/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    285 MAIN ST 
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    City                 |    EAST AURORA
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    State                |    NY
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    Zip                  |    14052-1636
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    Country              |    US
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    Telephone            |    716-652-1020
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    Fax                  |    716-652-7545
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Provider Business Mailing Address
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    Address Line         |    5576 OAKRIDGE DR 
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    City                 |    HAMBURG
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    State                |    NY
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    Zip                  |    14075-4068
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    Country              |    US
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    Telephone            |    716-648-5651
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    Fax                  |    
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    041681
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    License Number State |    NY
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