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General NPI Number Information
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NPI Number | 1437588464
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Entity Type | Individual
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Provider Name | DAVID BRADLEY CNS
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Gender | Male
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Dates
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Enumeration Date | 11/12/2013
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 4301 JONES BRIDGE ROAD UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES
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City | BETHESDA
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State | MD
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Zip | 20814-4712
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Country | US
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Telephone | 301-295-9556
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Fax |
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Provider Business Mailing Address
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Address Line | 4301 JONES BRIDGE ROAD UNIFORMED SERVICES OF HEALTH SCIENCE
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City | BETHESDA
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State | MD
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Zip | 20814-0000
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 696702
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 364SP2800X
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Taxonomy Name | Perioperative Clinical Nurse Specialist
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License Number | AP132505
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License Number State | TX
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