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General NPI Number Information
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NPI Number | 1629447826
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Entity Type | Individual
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Provider Name | TIMOTHY BRAUN PHD, ATC, CSCS
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Gender | Male
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Dates
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Enumeration Date | 09/17/2015
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Last Update Date | 01/04/2021
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Provider Practice Location Address
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Address Line | 1 WOODLAND TER
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City | PITTSBURGH
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State | PA
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Zip | 15229-1232
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Country | US
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Telephone | 845-800-4947
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Fax |
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Provider Business Mailing Address
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Address Line | 1 WOODLAND TER
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City | PITTSBURGH
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State | PA
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Zip | 15229-1232
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Country | US
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Telephone | 845-800-4947
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | RT004155
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 25MT00155000
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License Number State | NJ
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