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Individual
ADAM BRASKET
Active
Individual
ADAM BRASKET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
743355
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95015268
CA
Other
Enumeration date
04/22/2020
Last updated
09/24/2020
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