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General NPI Number Information
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NPI Number | 1043412455
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Entity Type | Organization
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Legal Business Name | R. BRADEN NEIMAN, MD PA
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 05/04/2009
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Provider Practice Location Address
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Address Line | 4242 MEDICAL DR #6100
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5640
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Country | US
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Telephone | 210-692-1245
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Fax | 940-692-1244
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Provider Business Mailing Address
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Address Line | PO BOX 293879
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City | KERRVILLE
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State | TX
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Zip | 78029-3879
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Country | US
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Telephone | 210-692-1245
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Fax | 940-692-1244
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Authorized Official
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Title or Position | OWNDER
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Name | RICHARD BRADEN NEIMAN
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Credential | M.D.
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Telephone | 210-692-1245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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