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General NPI Number Information
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NPI Number | 1447984794
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Entity Type | Individual
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Provider Name | BRADLEY ROBERT BARNES DDS
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Gender | Male
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Dates
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Enumeration Date | 07/12/2022
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 319 NE VIVION RD
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City | KANSAS CITY
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State | MO
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Zip | 64118-4510
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Country | US
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Telephone | 816-459-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 3916 SW CLARION PL
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City | TOPEKA
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State | KS
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Zip | 66610-2406
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Country | US
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Telephone | 785-224-6866
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 7853
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License Number State | NE
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