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General NPI Number Information
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NPI Number | 1225014426
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Entity Type | Individual
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Provider Name | BRADLY J BUXTON D.C.
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Gender | Male
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 2912 BATTLEGROUND AVE
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City | GREENSBORO
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State | NC
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Zip | 27408-2706
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Country | US
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Telephone | 336-282-2525
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Fax | 336-282-7554
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Provider Business Mailing Address
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Address Line | 2912 BATTLEGROUND AVE
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City | GREENSBORO
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State | NC
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Zip | 27408-2706
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Country | US
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Telephone | 336-282-2525
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Fax | 336-282-7554
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1251
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License Number State | NC
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