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General NPI Number Information
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NPI Number | 1497084859
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Entity Type | Organization
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Legal Business Name | LEANA BRADFORD
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Dates
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Enumeration Date | 12/15/2009
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Last Update Date | 12/15/2009
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Provider Practice Location Address
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Address Line | 8730 SILVER LURE DR
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City | HUMBLE
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State | TX
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Zip | 77346-8151
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Country | US
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Telephone | 281-733-6041
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Fax | 713-343-3158
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Provider Business Mailing Address
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Address Line | 8730 SILVER LURE DR
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City | HUMBLE
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State | TX
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Zip | 77346-8151
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Country | US
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Telephone | 281-733-6041
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Fax | 713-343-3158
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Authorized Official
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Title or Position | SURGICAL ASSISTANT
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Name | LEANA LYNN BRADFORD
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Credential |
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Telephone | 281-733-6041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number |
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License Number State |
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