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General NPI Number Information
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NPI Number | 1962602714
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Entity Type | Individual
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Provider Name | ELEANOR M. BRAUN LICSW
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Gender | Female
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 07/19/2007
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Provider Practice Location Address
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Address Line | 789 CLAPBOARDTREE ST
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City | WESTWOOD
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State | MA
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Zip | 02090-1717
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Country | US
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Telephone | 781-762-4001
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Fax | 781-461-8866
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Provider Business Mailing Address
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Address Line | 65 KATO DR
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City | SUDBURY
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State | MA
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Zip | 01776-2446
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Country | US
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Telephone | 978-875-0384
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Fax | 978-443-5851
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 107569
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License Number State | MA
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