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General NPI Number Information
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NPI Number | 1275601890
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Entity Type | Individual
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Provider Name | STEPHEN C. BRAWLEY MD
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Gender | Male
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 540 RADFORD LN STE 250
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-7466
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Country | US
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Telephone | 434-823-7896
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Fax | 434-220-5941
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Provider Business Mailing Address
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Address Line | PO BOX 388
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City | FISHERSVILLE
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State | VA
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Zip | 22939-0388
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Country | US
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Telephone | 540-932-5162
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Fax | 540-932-5875
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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 | 0101231587
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License Number State | VA
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