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General NPI Number Information
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NPI Number | 1376679449
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Entity Type | Individual
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Provider Name | ROBERT BRAILE D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/03/2019
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Provider Practice Location Address
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Address Line | 3515 DALLAS HWY SW STE 102
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City | MARIETTA
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State | GA
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Zip | 30064-2094
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Country | US
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Telephone | 770-693-0914
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Fax |
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Provider Business Mailing Address
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Address Line | 3450 VELMA DR
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-1349
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Country | US
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Telephone | 770-943-9199
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Fax | 770-943-1695
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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 | CH3044
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2301006749
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 03525
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3931
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR001689
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License Number State | GA
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