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General NPI Number Information
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NPI Number | 1235316860
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Entity Type | Individual
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Provider Name | DAVID BRAGG PT, OCS, FAAOMPT
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Gender | Male
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Dates
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Enumeration Date | 01/25/2008
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 1616 WESTGATE CIR STE 209
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City | BRENTWOOD
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State | TN
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Zip | 37027-8019
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Country | US
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Telephone | 615-659-7135
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Fax |
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Provider Business Mailing Address
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Address Line | 204 FOUNDERS POINTE BLVD
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City | FRANKLIN
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State | TN
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Zip | 37064-0706
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Country | US
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Telephone | 615-659-7135
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 12568
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License Number State | TN
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