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General NPI Number Information
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NPI Number | 1427258458
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Entity Type | Individual
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Provider Name | SHANA B BRAFMAN O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 08/07/2014
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Provider Practice Location Address
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Address Line | 8970 WINTON RD
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City | CINCINNATI
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State | OH
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Zip | 45231-3818
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Country | US
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Telephone | 513-522-0035
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Fax | 513-522-3416
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Provider Business Mailing Address
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Address Line | 8970 WINTON ROAD
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City | CINCINNATI
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State | OH
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Zip | 45231-4644
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Country | US
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Telephone | 513-522-0035
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Fax | 513-522-3416
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 046009953
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6242-T3157
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License Number State | OH
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