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General NPI Number Information
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NPI Number | 1225193394
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Entity Type | Organization
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Legal Business Name | BRADEN PARTNERS LP
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 06/28/2018
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Provider Practice Location Address
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Address Line | 1166 NATIONAL DR STE 30
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City | SACRAMENTO
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State | CA
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Zip | 95834
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Country | US
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Telephone | 916-419-1558
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Fax | 916-419-1560
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Provider Business Mailing Address
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Address Line | 5060 CALIFORNIA AVE STE 310
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0728
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Country | US
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Telephone | 661-665-6040
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | LUKE MCGEE
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Credential |
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Telephone | 646-880-0473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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