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General NPI Number Information
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NPI Number | 1366805301
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Entity Type | Organization
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Legal Business Name | BRAD A. CASE, MD, PA
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Dates
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Enumeration Date | 03/29/2016
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Last Update Date | 07/27/2016
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Provider Practice Location Address
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Address Line | 2478 PATTERSON RD SUITE 4
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-3605
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Country | US
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Telephone | 970-773-1946
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Fax |
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Provider Business Mailing Address
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Address Line | 2478 PATTERSON RD SUITE 4
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-3605
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Country | US
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Telephone | 970-773-1946
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LISA A CASE
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Credential |
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Telephone | 970-773-1946
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | CO
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