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General NPI Number Information
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NPI Number | 1295316115
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Entity Type | Individual
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Provider Name | BRADLEY STEVEN PFEIFER MD
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Gender | Male
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 350 W 23RD ST
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City | FREMONT
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State | NE
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Zip | 68025-2592
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Country | US
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Telephone | 608-845-9531
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Fax | 608-845-8684
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Provider Business Mailing Address
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Address Line | PO BOX 3755
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City | OMAHA
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State | NE
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Zip | 68103-0755
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Country | US
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Telephone | 402-354-5451
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Fax | 402-354-5454
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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 | 35958
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License Number State | NE
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