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General NPI Number Information
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NPI Number | 1841582533
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Entity Type | Individual
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Provider Name | JENNIFER LEE BRANHAM LCSW
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Gender | Female
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Dates
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Enumeration Date | 05/12/2011
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Last Update Date | 01/13/2015
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Provider Practice Location Address
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Address Line | 15800 PINES BLVD APT 3015
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-1212
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Country | US
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Telephone | 954-536-8423
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Fax |
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Provider Business Mailing Address
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Address Line | 1633 POINCAINA DRIVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-1212
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Country | US
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Telephone | 954-800-5059
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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