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General NPI Number Information
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NPI Number | 1649351636
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Entity Type | Individual
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Provider Name | CYNTHIA M BRAWNER MD
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Gender | Female
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/22/2011
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Provider Practice Location Address
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Address Line | 3600 KOLBE RD STE 120
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City | LORAIN
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State | OH
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Zip | 44053-1652
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Country | US
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Telephone | 440-282-7408
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Fax | 440-690-2214
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Provider Business Mailing Address
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Address Line | 24701 EUCLID AVE
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City | EUCLID
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State | OH
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Zip | 44117-1714
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Country | US
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Telephone | 440-282-7408
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Fax | 440-960-2214
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35068796
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License Number State | OH
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