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General NPI Number Information
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NPI Number | 1295536910
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Entity Type | Individual
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Provider Name | SHARON BRADFORD RN
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Gender | Female
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 105 NORTHGATE RD STE D
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City | NATCHEZ
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State | MS
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Zip | 39120-9162
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Country | US
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Telephone | 769-355-2052
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Fax |
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Provider Business Mailing Address
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Address Line | 59 SEALE RD
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City | NATCHEZ
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State | MS
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Zip | 39120-8291
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Country | US
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Telephone | 601-597-4422
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Fax | 601-304-5673
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 907752
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License Number State | MS
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