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General NPI Number Information
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NPI Number | 1275523011
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Entity Type | Individual
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Provider Name | JOSEPH A BRADEN DO
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Gender | Male
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 451 W LOCKE ST
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City | ASHDOWN
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State | AR
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Zip | 71822-3325
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Country | US
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Telephone | 870-898-5011
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Fax |
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Provider Business Mailing Address
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Address Line | 6534 S 66TH EAST AVE
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City | TULSA
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State | OK
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Zip | 74133-4033
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Country | US
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Telephone | 918-636-1650
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | E20005
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 2773
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 2773
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License Number State | OK
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