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NPI 1992730535

NPI 1992730535 : JANICE W BRAUNSTEIN PT : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1992730535
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    Entity Type          |    Individual 
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    Provider Name        |    JANICE W BRAUNSTEIN PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/12/2006
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    Last Update Date     |    02/19/2008
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Provider Practice Location Address
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    Address Line         |    600 W PEACHTREE ST NW STE 180 ATLANTA
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30308-3616
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    Country              |    US
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    Telephone            |    404-607-1741
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    Fax                  |    404-607-0906
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Provider Business Mailing Address
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    Address Line         |    1266 W PACES FERRY RD NW # 676
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30327-2306
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    Country              |    US
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    Telephone            |    404-607-1741
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    Fax                  |    770-937-9131
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    000912
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    License Number State |    GA
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