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General NPI Number Information
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NPI Number | 1144783028
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Entity Type | Individual
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Provider Name | BRADEN JAMES PASSIAS DO
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Gender | Male
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 1030 REFUGEE RD STE 180
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City | PICKERINGTON
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State | OH
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Zip | 43147-9769
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Country | US
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Telephone | 614-890-6555
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Fax |
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Provider Business Mailing Address
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Address Line | 6480 HARRISON AVE STE 201
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City | CINCINNATI
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State | OH
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Zip | 45247-7961
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Country | US
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Telephone | 133-547-7855
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 20A22132
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License Number State | CA
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