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General NPI Number Information
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NPI Number | 1225357668
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Entity Type | Individual
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Provider Name | BRAD J CONNER DO
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Gender | Male
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Dates
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Enumeration Date | 05/25/2010
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Last Update Date | 09/10/2021
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Provider Practice Location Address
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Address Line | 120 N 7TH ST STE 101
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-1795
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Country | US
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Telephone | 717-263-1220
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Fax | 717-263-6255
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Provider Business Mailing Address
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Address Line | 785 5TH AVE SUITE 3
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-4232
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Country | US
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Telephone | 717-263-9555
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Fax | 717-217-4218
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 5101018654
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 03879
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 34.011686
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | OS018267
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License Number State | PA
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