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General NPI Number Information
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NPI Number | 1588757082
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Entity Type | Organization
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Legal Business Name | MICHAEL C BRAUNSTEIN M D LTD
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/01/2014
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Provider Practice Location Address
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Address Line | 939 S DECATUR BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89107-3918
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Country | US
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Telephone | 702-388-1661
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Fax | 702-384-0103
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Provider Business Mailing Address
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Address Line | 939 S DECATUR BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89107-3918
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Country | US
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Telephone | 702-388-1661
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Fax | 702-384-0103
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | DR. MICHAEL CRAIG BRAUNSTEIN
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Credential | MD
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Telephone | 702-388-1661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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