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General NPI Number Information
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NPI Number | 1619927381
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Entity Type | Individual
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Provider Name | PAMELA LOUISE BRAUCHI LPR, ATR
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Gender | Female
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 03/08/2024
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Provider Practice Location Address
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Address Line | 5525 E 51ST ST SUITE #400
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City | TULSA
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State | OK
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Zip | 74135-7461
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Country | US
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Telephone | 918-388-6279
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Fax | 918-388-6456
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Provider Business Mailing Address
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Address Line | 5806 S ATLANTA AVE
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City | TULSA
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State | OK
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Zip | 74105-7530
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Country | US
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Telephone | 918-749-0944
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Fax | 918-749-0286
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 03-195
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3057
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License Number State | OK
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