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General NPI Number Information
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NPI Number | 1073723425
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Entity Type | Organization
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Legal Business Name | BRADLEE N NOVOTNY, D.C., P.C.
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 4401 N 7TH ST
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City | LINCOLN
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State | NE
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Zip | 68521-2425
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Country | US
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Telephone | 402-476-8619
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Fax | 402-476-8634
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Provider Business Mailing Address
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Address Line | 4401 N 7TH ST
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City | LINCOLN
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State | NE
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Zip | 68521-2425
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Country | US
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Telephone | 402-476-8619
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Fax | 402-476-8634
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. BRADLEE N NOVOTNY
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Credential | D.C.
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Telephone | 402-476-8619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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