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General NPI Number Information
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NPI Number | 1255623914
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Entity Type | Individual
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Provider Name | BRADY DREW MCDANIEL DC
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Gender | Male
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Dates
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Enumeration Date | 05/12/2011
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Last Update Date | 04/25/2018
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Provider Practice Location Address
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Address Line | 519 WEST 87TH STREET
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City | NAPERVILLE
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State | IL
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Zip | 60565
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Country | US
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Telephone | 619-818-3263
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Fax | 619-818-3263
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Provider Business Mailing Address
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Address Line | 519 W 87TH ST
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City | NAPERVILLE
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State | IL
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Zip | 60565-3128
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Country | US
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Telephone | 331-215-4919
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Fax | 331-215-4917
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038.011876
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License Number State | IL
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