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General NPI Number Information
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NPI Number | 1023994084
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Entity Type | Individual
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Provider Name | BRADY ALAN CLAYTON AUD
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Gender | Male
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 12500 STOCKDALE HWY
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City | BAKERSFIELD
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State | CA
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Zip | 93314-9649
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Country | US
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Telephone | 661-564-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 5200 OLD FARM RD APT 174
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City | BAKERSFIELD
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State | CA
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Zip | 93312-6922
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Country | US
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Telephone | 661-342-7241
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 4077
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License Number State | CA
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