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General NPI Number Information
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NPI Number | 1215424890
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Entity Type | Individual
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Provider Name | ELIZABETH ANN BRADEN
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Gender | Female
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Dates
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Enumeration Date | 04/18/2018
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 1101 MARKET ST STE 2720
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City | PHILADELPHIA
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State | PA
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Zip | 19107-2934
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Country | US
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Telephone | 215-503-8575
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Fax |
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Provider Business Mailing Address
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Address Line | 2150 PENNSYLVANIA AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20037-3201
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Country | US
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Telephone | 202-741-3000
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | MD481821
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License Number State | PA
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