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General NPI Number Information
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NPI Number | 1275702284
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Entity Type | Organization
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Legal Business Name | RICHARD C BRADLEY, DPM, PC
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Dates
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Enumeration Date | 02/23/2008
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Last Update Date | 09/20/2025
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Provider Practice Location Address
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Address Line | 188 FRIES MILL RD SUITE D-2
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-2015
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Country | US
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Telephone | 856-629-7300
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Fax | 856-629-8729
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Provider Business Mailing Address
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Address Line | PO BOX 28
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City | MULLICA HILL
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State | NJ
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Zip | 08062-0028
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Country | US
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Telephone | 856-629-7300
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Fax | 610-579-3611
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD C BRADLETY
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Credential | DPM
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Telephone | 856-629-7300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 25MD00213000
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License Number State | NJ
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