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General NPI Number Information
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NPI Number | 1245213925
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Entity Type | Individual
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Provider Name | JOHN S. BRATTELI MD
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Gender | Male
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 2635 N 7TH ST
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-8209
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Country | US
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Telephone | 970-298-6307
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Fax | 970-298-7037
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Provider Business Mailing Address
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Address Line | 550 LOIS DR
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City | FRUITA
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State | CO
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Zip | 81521-8764
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Country | US
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Telephone | 970-858-5107
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 42683
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License Number State | CO
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