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General NPI Number Information
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NPI Number | 1619671682
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Entity Type | Individual
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Provider Name | MS. JOANN BRAMBERGER
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Gender | Female
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 3330 GLENDALE AVE TOLEDO OHIO 43614
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City | TOLEDO
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State | OH
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Zip | 43614-4361
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Country | US
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Telephone | 419-242-9955
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Fax |
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Provider Business Mailing Address
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Address Line | 1587 W DEAN RD
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City | TEMPERANCE
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State | MI
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Zip | 48182-9273
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Country | US
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Telephone | 141-939-2522
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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