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General NPI Number Information
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NPI Number | 1508141003
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Entity Type | Individual
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Provider Name | MR. DAVID G BRAUN
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Gender | Male
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Dates
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Enumeration Date | 10/15/2011
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Last Update Date | 10/27/2014
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Provider Practice Location Address
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Address Line | 6015 DURAND AVE STE 100
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City | MOUNT PLEASANT
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State | WI
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Zip | 53406-5044
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Country | US
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Telephone | 262-884-4327
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Fax |
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Provider Business Mailing Address
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Address Line | 8205 DOE GLEN CT
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City | MOUNT PLEASANT
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State | WI
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Zip | 53406-1760
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Country | US
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Telephone | 262-930-1002
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 1371060
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License Number State | WI
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