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General NPI Number Information
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NPI Number | 1275626988
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Entity Type | Organization
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Legal Business Name | BRADEN RICHMOND, MD,PC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 901 LEIGHTON AVE STE 102
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City | ANNISTON
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State | AL
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Zip | 36207-5703
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Country | US
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Telephone | 256-435-2229
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Fax | 256-782-2904
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Provider Business Mailing Address
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Address Line | 901 LEIGHTON AVE STE 102
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City | ANNISTON
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State | AL
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Zip | 36207-5703
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Country | US
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Telephone | 256-435-2229
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Fax | 256-782-2904
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Authorized Official
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Title or Position | OWNER
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Name | DR. LARRY BRADEN RICHMOND
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Credential | MD
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Telephone | 256-435-2229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 19452
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License Number State | AL
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