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General NPI Number Information
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NPI Number | 1568716074
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Entity Type | Individual
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Provider Name | NAOMI BRAMHALL AU.D, PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 11/06/2012
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Provider Practice Location Address
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Address Line | 736 CAMBRIDGE ST ST. ELIZABETH'S MEDICAL CENTER DEPT OF OTOLARYNGOLOGY
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City | BRIGHTON
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State | MA
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Zip | 02135-2907
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Country | US
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Telephone | 617-779-6442
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Fax |
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Provider Business Mailing Address
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Address Line | 2353 MASSACHUSETTS AVE #45
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City | CAMBRIDGE
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State | MA
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Zip | 02140-1252
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Country | US
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Telephone |
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 1000
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License Number State | MA
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