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General NPI Number Information
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NPI Number | 1487445417
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Entity Type | Individual
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Provider Name | HAROLD BRASWELL
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Gender | Male
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Dates
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Enumeration Date | 05/17/2025
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Last Update Date | 05/17/2025
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Provider Practice Location Address
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Address Line | 230 S BEMISTON AVE STE 1213
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City | CLAYTON
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State | MO
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Zip | 63105-1907
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Country | US
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Telephone | 404-747-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 5608 OLEATHA AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63139-1504
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Country | US
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Telephone | 404-747-8200
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2025017086
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License Number State | MO
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