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General NPI Number Information
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NPI Number | 1285065748
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Entity Type | Organization
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Legal Business Name | BRADLEY N. ADKINS, DDS, PLLC
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Dates
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Enumeration Date | 12/10/2013
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Last Update Date | 12/10/2013
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Provider Practice Location Address
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Address Line | 2319 GRACE AVE
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City | NEW BERN
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State | NC
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Zip | 28562-4407
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Country | US
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Telephone | 252-633-2876
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Fax |
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Provider Business Mailing Address
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Address Line | 2319 GRACE AVE
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City | NEW BERN
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State | NC
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Zip | 28562-4407
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Country | US
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Telephone | 252-633-2876
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. BRADLEY NEAL ADKINS
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Credential | D.D.S.
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Telephone | 919-272-7869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 8785
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License Number State | NC
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