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General NPI Number Information
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NPI Number | 1487975975
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Entity Type | Individual
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Provider Name | BRADLEY ROBERT DRURY M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/18/2010
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 7383 N STATE ROAD 7
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City | PARKLAND
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State | FL
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Zip | 33073-4527
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Country | US
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Telephone | 305-395-4411
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Fax | 305-614-0530
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Provider Business Mailing Address
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Address Line | 13555 KILTIE CT
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City | DELRAY BEACH
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State | FL
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Zip | 33446-3624
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Country | US
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Telephone | 502-418-0744
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD0000054809
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME140319
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License Number State | FL
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