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General NPI Number Information
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NPI Number | 1376460899
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Entity Type | Individual
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Provider Name | BRADLEY ROGERS PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 3501 JOHNSON ST
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City | HOLLYWOOD
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State | FL
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Zip | 33021-5421
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Country | US
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Telephone | 954-265-9955
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Fax | 954-265-9017
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Provider Business Mailing Address
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Address Line | 1041 NW 76TH AVE
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City | PLANTATION
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State | FL
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Zip | 33322-5142
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Country | US
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Telephone | 248-252-3404
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Fax |
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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 | 1835E0208X
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Taxonomy Name | Emergency Medicine Pharmacist
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License Number | PS47736
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License Number State | FL
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