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General NPI Number Information
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NPI Number | 1295758688
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Entity Type | Organization
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Legal Business Name | BRADEN PARTNERS LP
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 4562 WESTINGHOUSE ST STE F
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City | VENTURA
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State | CA
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Zip | 93003-5797
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Country | US
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Telephone | 747-224-8338
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Fax |
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Provider Business Mailing Address
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Address Line | 555 E NORTH LN STE 5075
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428-2233
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Country | US
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Telephone | 661-665-6040
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Fax |
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Authorized Official
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Title or Position | CHIEF COMPLIANCE OFFICER
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Name | WENDY RUSSALESI
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Credential |
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Telephone | 484-246-9499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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