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General NPI Number Information
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NPI Number | 1437725017
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Entity Type | Organization
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Legal Business Name | BRADLEY HUNTER, DO, LLC
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Dates
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Enumeration Date | 06/03/2021
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Last Update Date | 04/05/2022
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Provider Practice Location Address
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Address Line | 9715 MEDICAL CENTER DR STE 321
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City | ROCKVILLE
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State | MD
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Zip | 20850-6307
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Country | US
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Telephone | 240-728-2378
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Fax | 833-907-2442
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Provider Business Mailing Address
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Address Line | 9715 MEDICAL CENTER DR STE 321
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City | ROCKVILLE
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State | MD
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Zip | 20850-6307
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Country | US
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Telephone | 204-386-8379
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Fax | 301-605-7453
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Authorized Official
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Title or Position | OWNER / PHYSICIAN
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Name | BRADLEY HUNTER
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Credential | DO
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Telephone | 240-498-1428
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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