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General NPI Number Information
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NPI Number | 1952281834
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Entity Type | Individual
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Provider Name | MR. LANCE BRAM
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Gender | Male
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 50 WHEELER RD SPEC. ED DEPT.
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City | CENTRAL ISLIP
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State | NY
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Zip | 11722-2194
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Country | US
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Telephone | 631-348-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 50 WHEELER RD
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City | CENTRAL ISLIP
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State | NY
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Zip | 11722-2194
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Country | US
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Telephone | 631-348-5000
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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