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General NPI Number Information
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NPI Number | 1477971141
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Entity Type | Individual
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Provider Name | MICHAEL BRADLEY NELSON M.D., M.P.H.
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Gender | Male
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Dates
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Enumeration Date | 03/31/2014
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 2000 OLATHE BLVD SUITE 3B
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City | KANSAS CITY
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State | KS
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Zip | 66160-2620
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Country | US
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Telephone | 913-588-6300
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Fax | 913-274-3515
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Provider Business Mailing Address
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Address Line | 2106 OLATHE BLVD MAILSTOP 4004
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City | KANSAS CITY
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State | KS
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Zip | 66160-0001
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Country | US
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Telephone | 913-588-5000
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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 | 2080P0216X
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Taxonomy Name | Pediatric Rheumatology Physician
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License Number | 04-43510
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 2080P0216X
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Taxonomy Name | Pediatric Rheumatology Physician
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License Number | 2024014447
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 04-43510
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License Number State | KS
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