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General NPI Number Information
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NPI Number | 1750666038
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Entity Type | Organization
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Legal Business Name | DAWN P. BRAUER PT PC
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Dates
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Enumeration Date | 10/18/2011
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Last Update Date | 10/18/2011
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Provider Practice Location Address
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Address Line | 7 BRIARBERRY CT
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City | LAKE GROVE
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State | NY
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Zip | 11755-2232
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Country | US
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Telephone | 631-431-6824
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Fax |
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Provider Business Mailing Address
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Address Line | 7 BRIARBERRY CT
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City | LAKE GROVE
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State | NY
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Zip | 11755-2232
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Country | US
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Telephone | 631-431-6824
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DAWN PATRICE BRAUER
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Credential | M.S.P.T., C.I.M.I.
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Telephone | 631-431-6824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 019793-1
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License Number State | NY
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