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General NPI Number Information
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NPI Number | 1023952397
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Entity Type | Individual
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Provider Name | ROBERTA BRADY
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Gender | Female
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 8530 TOWNSHIP LINE RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1927
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Country | US
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Telephone | 463-999-9045
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Fax |
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Provider Business Mailing Address
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Address Line | 3417 N DENNY ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46218-1415
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Country | US
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Telephone | 317-513-1734
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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