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General NPI Number Information
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NPI Number | 1386063832
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Entity Type | Individual
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Provider Name | BRADFORD A JOSEPH CSFA
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Gender | Male
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 10/31/2023
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Provider Practice Location Address
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Address Line | 2442 PLANTERS MILL WAY
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City | CONYERS
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State | GA
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Zip | 30012-3691
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Country | US
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Telephone | 214-227-2457
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Fax | 214-764-0880
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Provider Business Mailing Address
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Address Line | PO BOX 1013
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City | CONYERS
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State | GA
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Zip | 30012-1013
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Country | US
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Telephone | 770-899-4908
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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