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General NPI Number Information
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NPI Number | 1033104120
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Entity Type | Individual
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Provider Name | BRADLEY ALLEN FREMMING M.D., PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 04/06/2016
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Provider Practice Location Address
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Address Line | EMILE 42ND ST
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City | OMAHA
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State | NE
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Zip | 68198-4455
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Country | US
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Telephone | 402-559-4081
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Fax | 402-559-7372
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Provider Business Mailing Address
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Address Line | 988102 NEBRASKA MEDICAL CTR
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City | OMAHA
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State | NE
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Zip | 68198-8102
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Country | US
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Telephone | 402-559-6195
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 12119
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | R-9110
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 21406
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License Number State | IA
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 6662
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License Number State | NE
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Taxonomy #5
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 28884
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License Number State | NE
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