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General NPI Number Information
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NPI Number | 1225729023
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Entity Type | Individual
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Provider Name | DONALD BRADLEY LPC
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Gender | Male
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Dates
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Enumeration Date | 05/15/2023
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Last Update Date | 08/03/2024
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Provider Practice Location Address
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Address Line | 308 S FRIENDSWOOD DR STE 200
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-3989
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Country | US
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Telephone | 884-824-8775
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Fax | 281-648-2200
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Provider Business Mailing Address
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Address Line | 3610 BROOK ST
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City | IOWA COLONY
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State | TX
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Zip | 77583-1779
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Country | US
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Telephone | 248-672-7510
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 87189
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License Number State | TX
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