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General NPI Number Information
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NPI Number | 1770540114
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Entity Type | Individual
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Provider Name | GORDON JAY BRAUN DC
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Gender | Male
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 2555 COLLINS AVE # C4
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City | MIAMI BEACH
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State | FL
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Zip | 33140-4723
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Country | US
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Telephone | 305-674-9321
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Fax | 305-674-9186
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Provider Business Mailing Address
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Address Line | 2555 COLLINS AVE # C4
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City | MIAMI BEACH
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State | FL
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Zip | 33140-4723
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Country | US
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Telephone | 305-674-9321
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Fax | 305-674-9186
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8403
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | CH 8403
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License Number State | FL
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