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General NPI Number Information
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NPI Number | 1831361641
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Entity Type | Organization
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Legal Business Name | BRAUNLICH ORTHOPEDICS, LLC
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 04/16/2015
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Provider Practice Location Address
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Address Line | 2000 EOFF STREET SUITE 604
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City | WHEELING
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State | WV
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Zip | 26003-6391
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Country | US
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Telephone | 304-312-2216
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Fax | 304-231-3850
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Provider Business Mailing Address
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Address Line | 2000 EOFF STREET SUITE 604
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City | WHEELING
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State | WV
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Zip | 26003-6391
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Country | US
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Telephone | 304-312-2216
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Fax | 304-231-3850
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Authorized Official
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Title or Position | PHYSICIAN/PRESIDENT
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Name | DR. EARL FRITZ BRAUNLICH
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Credential | M.D
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Telephone | 304-242-9460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 22872
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License Number State | WV
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