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General NPI Number Information
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NPI Number | 1851912430
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Entity Type | Individual
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Provider Name | MARTIN BRAUN MD
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Gender | Male
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Dates
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Enumeration Date | 05/05/2020
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Last Update Date | 05/05/2020
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Provider Practice Location Address
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Address Line | 750 WEST BROADWAY #309
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City | VANCOUVER
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State | BC
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Zip | V5Z1H2
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Country | CA
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Telephone | 604-708-9891
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Fax | 604-708-9803
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Provider Business Mailing Address
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Address Line | 750 WEST BROADWAY #309
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City | VANCOUVER
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State | BC
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Zip | V5Z1H2
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Country | CA
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 84921
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License Number State | FL
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