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General NPI Number Information
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NPI Number | 1194547844
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Entity Type | Organization
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Legal Business Name | BRADY MEDICAL GROUP PLLC
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Dates
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Enumeration Date | 10/24/2024
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 6700 ALMA RD STE 400
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City | MCKINNEY
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State | TX
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Zip | 75070-1921
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Country | US
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Telephone | 844-409-4657
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Fax | 214-614-4277
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Provider Business Mailing Address
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Address Line | PO BOX 50006
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City | DENTON
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State | TX
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Zip | 76206-0006
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | INSURANCE
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Name | NIKEYIA BRAXTON
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Credential |
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Telephone | 206-851-1757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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