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General NPI Number Information
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NPI Number | 1205798881
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Entity Type | Individual
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Provider Name | CHRIS BRADFORD
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Gender | Male
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 181 FULTON ST APT H309
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City | AURORA
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State | CO
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Zip | 80010-4418
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Country | US
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Telephone | 314-688-6965
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Fax |
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Provider Business Mailing Address
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Address Line | 181 FULTON ST APT H309
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City | AURORA
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State | CO
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Zip | 80010-4418
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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 |
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | NA.00823121
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License Number State | CO
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