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General NPI Number Information
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NPI Number | 1164375903
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Entity Type | Individual
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Provider Name | ALEXIS BRADSHAW M ALEXIS BRADSHAW HOMEMAKER COMPANION
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Gender | Female
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Dates
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Enumeration Date | 02/20/2026
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Last Update Date | 02/21/2026
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Provider Practice Location Address
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Address Line | 2911 DIXWELL AVE STE B-6
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City | HAMDEN
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State | CT
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Zip | 06518-3151
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Country | US
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Telephone | 203-935-7563
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Fax | 203-935-7563
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Provider Business Mailing Address
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Address Line | 650 MIX AVE APT 5E
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City | HAMDEN
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State | CT
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Zip | 06514-2346
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Country | US
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Telephone | 203-935-7563
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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 | 376J00000X
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Taxonomy Name | Homemaker
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License Number | HAC-0002806
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License Number State | CT
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