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General NPI Number Information
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NPI Number | 1457303950
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Entity Type | Individual
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Provider Name | ROBIN D BRAUCHLA NP
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Gender | Female
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 2120 N DETROIT ST
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City | LAGRANGE
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State | IN
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Zip | 46761-1147
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Country | US
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Telephone | 260-766-6190
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Fax | 855-618-2253
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Provider Business Mailing Address
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Address Line | 306 DR HAMPEL DR
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City | BUTLER
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State | IN
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Zip | 46721-1185
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Country | US
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Telephone | 260-366-4770
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Fax | 877-370-2854
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 71000252
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71000252
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71000252A
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License Number State | IN
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