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General NPI Number Information
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NPI Number | 1003955253
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Entity Type | Individual
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Provider Name | CHRISTOPHER DALE BRADLEY DDS
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Gender | Male
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 8955 WOOD RD
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City | BETHESDA
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State | MD
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Zip | 20889-2575
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Country | US
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Telephone | 252-515-2848
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Fax |
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Provider Business Mailing Address
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Address Line | 10 FLAMINGO CV
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City | BEAUFORT
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State | SC
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Zip | 29907-1824
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Country | US
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Telephone | 252-515-8284
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 6798
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License Number State | NC
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