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General NPI Number Information
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NPI Number | 1659007342
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Entity Type | Individual
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Provider Name | JOFFA L BRAYMER MD
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Gender | Female
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Dates
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Enumeration Date | 07/26/2022
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Last Update Date | 07/26/2022
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Provider Practice Location Address
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Address Line | 10310 THE GROVE BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70836-6455
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Country | US
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Telephone | 225-761-5200
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Fax | 225-761-5750
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Provider Business Mailing Address
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Address Line | 1233 CHICHESTER ST
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City | ORLANDO
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State | FL
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Zip | 32803-1113
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Country | US
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Telephone | 225-229-7185
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD.020552
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License Number State | LA
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