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NPI 1487248258

NPI 1487248258 : BRADY PLOWMAN GILMORE OTR : GRAHAM, TX

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General NPI Number Information
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    NPI Number           |    1487248258
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    Entity Type          |    Individual 
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    Provider Name        |    BRADY PLOWMAN GILMORE OTR
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/23/2021
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    Last Update Date     |    10/31/2025
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Provider Practice Location Address
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    Address Line         |    442 OAK ST 
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    City                 |    GRAHAM
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    State                |    TX
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    Zip                  |    76450-2522
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    Country              |    US
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    Telephone            |    940-247-0402
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    Fax                  |    94-320-9540
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Provider Business Mailing Address
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    Address Line         |    442 OAK ST 
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    City                 |    GRAHAM
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    State                |    TX
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    Zip                  |    76450-2522
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    Country              |    US
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    Telephone            |    940-247-0402
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    Fax                  |    94-320-9540
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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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    121686
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    License Number State |    TX
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