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General NPI Number Information
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NPI Number | 1174082937
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Entity Type | Individual
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Provider Name | BRADY KEVIN MILLER MD
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Gender | Male
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 2401 N TREADAWAY BLVD
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City | ABILENE
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State | TX
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Zip | 79601-1953
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Country | US
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Telephone | 325-676-7700
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Fax | 325-676-7991
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Provider Business Mailing Address
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Address Line | PO BOX 844658
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City | DALLAS
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State | TX
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Zip | 75284-4658
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Country | US
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Telephone | 800-994-0371
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | U1333
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License Number State | TX
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