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General NPI Number Information
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NPI Number | 1134407133
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Entity Type | Individual
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Provider Name | BRADLEY ROBERT PIERCE P.A.
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Gender | Male
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Dates
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Enumeration Date | 07/26/2011
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 807 FARSON ST STE 210
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City | BELPRE
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State | OH
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Zip | 45714-1069
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Country | US
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Telephone | 740-376-5000
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Fax | 740-401-0430
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Provider Business Mailing Address
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Address Line | 2165 MEDICAL PARK DR
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City | HICKORY
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State | NC
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Zip | 28602-8809
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Country | US
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Telephone | 828-324-2800
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Fax | 828-294-9160
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-12541
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.003359RX
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License Number State | OH
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