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General NPI Number Information
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NPI Number | 1790314987
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Entity Type | Individual
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Provider Name | BRANDEN SCOTT SHLANSKY DO
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Gender | Male
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Dates
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Enumeration Date | 04/08/2020
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 7975 LAKE UNDERHILL RD STE 210
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City | ORLANDO
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State | FL
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Zip | 32822-8204
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Country | US
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Telephone | 407-330-6421
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Fax |
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Provider Business Mailing Address
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Address Line | 4436 BOCAIRE BLVD
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City | BOCA RATON
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State | FL
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Zip | 33487-1154
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Country | US
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Telephone | 561-376-1982
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS18514
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License Number State | FL
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