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General NPI Number Information
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NPI Number | 1225411341
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Entity Type | Organization
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Legal Business Name | BRADLEY BIGGS PHD PSYCHOLOGIST P.C.
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 142 N ALLEN ST SUITE C
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City | ALBANY
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State | NY
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Zip | 12206-1700
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Country | US
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Telephone | 518-482-8363
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Fax | 518-482-8363
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Provider Business Mailing Address
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Address Line | 142 N ALLEN ST SUITE C
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City | ALBANY
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State | NY
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Zip | 12206-1700
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Country | US
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Telephone | 518-482-8363
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Fax | 518-482-8363
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | DR. BRADLEY BIGGS
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Credential | PH.D.
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Telephone | 518-482-8363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 8699
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License Number State | NY
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