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General NPI Number Information
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NPI Number | 1043831571
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Entity Type | Individual
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Provider Name | DAVID BRADLEY DPT
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Gender | Male
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Dates
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Enumeration Date | 05/06/2020
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Last Update Date | 05/06/2020
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Provider Practice Location Address
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Address Line | 5200 HARRY HINES BLVD
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City | DALLAS
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State | TX
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Zip | 75235-7709
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Country | US
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Telephone | 214-590-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 WOLF ST APT 7108
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City | DALLAS
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State | TX
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Zip | 75201-1135
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Country | US
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Telephone | 337-446-1934
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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 | 2251C2600X
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Taxonomy Name | Cardiopulmonary Physical Therapist
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License Number | 1258368
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License Number State | TX
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