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General NPI Number Information
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NPI Number | 1578165700
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Entity Type | Individual
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Provider Name | JESSICA BRAWDY BRAUNSCHEIDEL FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 11/12/2020
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 190 MAPLE RD
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City | AMHERST
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State | NY
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Zip | 14221-3129
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Country | US
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Telephone | 716-580-3810
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Fax |
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Provider Business Mailing Address
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Address Line | 5955 ELM ST
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City | CLARENCE CENTER
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State | NY
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Zip | 14032-9763
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Country | US
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Telephone | 716-478-9971
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F346757-01
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License Number State | NY
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