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General NPI Number Information
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NPI Number | 1437266400
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Entity Type | Individual
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Provider Name | CHRISTOPHER BRACKEN MD
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Gender | Male
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 03/07/2014
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Provider Practice Location Address
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Address Line | 7400 BARLITE BLVD
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City | SAN ANTONIO
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State | TX
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Zip | 78224-1308
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Country | US
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Telephone | 210-921-3585
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Fax |
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Provider Business Mailing Address
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Address Line | 7400 BARLITE BLVD SOUTHWEST GENERAL HOSPITAL
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City | SAN ANTONIO
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State | TX
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Zip | 78224
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Country | US
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Telephone | 210-921-3585
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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 | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | G9331
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License Number State | TX
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