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General NPI Number Information
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NPI Number | 1609856723
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Entity Type | Individual
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Provider Name | JASON H BRAJER M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 601 CORNERSTONE LN
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City | BRYN MAWR
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State | PA
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Zip | 19010-2073
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Country | US
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Telephone | 610-527-8820
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Fax | 610-672-9722
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Provider Business Mailing Address
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Address Line | 601 CORNERSTONE LANE
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City | BRYN MAWR
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State | PA
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Zip | 19010-2073
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Country | US
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Telephone | 610-527-8820
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Fax | 610-672-9722
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | MD025443E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | MD025443E
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | C10008831
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD025443E
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD025443E
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | C10008831
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License Number State | DE
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