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General NPI Number Information
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NPI Number | 1215024286
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Entity Type | Individual
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Provider Name | AMY HELEN BRADLEY RPH
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Gender | Female
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10 EAST AVE
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City | ALBION
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State | NY
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Zip | 14411-1613
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Country | US
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Telephone | 585-589-5639
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Fax | 585-589-5898
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Provider Business Mailing Address
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Address Line | 4534 MAIN ST
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City | GASPORT
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State | NY
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Zip | 14067-9521
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Country | US
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Telephone | 716-772-7465
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 034901-1
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License Number State | NY
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