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General NPI Number Information
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NPI Number | 1922237767
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Entity Type | Individual
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Provider Name | SUSAN CAROL BRAUN-SVORAI OTR
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Gender | Female
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Dates
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Enumeration Date | 07/14/2009
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Last Update Date | 07/14/2009
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Provider Practice Location Address
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Address Line | 151 ROBIN HILL DR
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-1515
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Country | US
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Telephone | 716-689-9094
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Fax |
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Provider Business Mailing Address
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Address Line | 813 FAY RD.
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City | SYRACUSE
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State | NY
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Zip | 13219
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Country | US
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Telephone | 315-488-2951
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Fax | 315-488-3255
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 0028311
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License Number State | NY
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