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General NPI Number Information
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NPI Number | 1346235942
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Entity Type | Individual
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Provider Name | BRADLEY ROBERT WILLIAMS PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 101 THE CITY DR S PAVILION IV
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City | ORANGE
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State | CA
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Zip | 92868-3201
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Country | US
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Telephone | 714-456-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 25101 DORIA AVE
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City | LOMITA
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State | CA
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Zip | 90717-1717
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Country | US
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Telephone | 310-325-1017
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Fax | 310-325-1017
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RPH31318
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1835G0303X
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Taxonomy Name | Geriatric Pharmacist
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License Number | 0972
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License Number State | VA
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