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General NPI Number Information
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NPI Number | 1750336293
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Entity Type | Individual
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Provider Name | JOY C BRAUNLICH L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 5245 CENTENNIAL BLVD 200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919
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Country | US
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Telephone | 719-338-9404
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Fax |
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Provider Business Mailing Address
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Address Line | 5001 CENTENNIAL BLVD UNIT 50304
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City | COLORADO SPRINGS
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State | CO
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Zip | 80949-0150
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Country | US
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Telephone | 719-338-7102
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Fax | 866-780-3596
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C004982
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2048
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License Number State | CO
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