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NPI 1497835680

NPI 1497835680 : CHRISTOPHER DAVID BRADEN D.O. : NEW BRAUNFELS, TX

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General NPI Number Information
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    NPI Number           |    1497835680
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER DAVID BRADEN D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/16/2006
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    Last Update Date     |    09/13/2022
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Provider Practice Location Address
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    Address Line         |    1448 E COMMON ST 
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    City                 |    NEW BRAUNFELS
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    State                |    TX
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    Zip                  |    78130-3162
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    Country              |    US
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    Telephone            |    830-643-1762
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    Fax                  |    830-609-7702
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Provider Business Mailing Address
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    Address Line         |    PO BOX 911230 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75391-1230
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    Country              |    US
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    Telephone            |    972-997-8000
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    Fax                  |    214-234-0813
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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        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    02003326A
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    License Number State |    IN
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Taxonomy #2
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    Taxonomy Code        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    03025
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    License Number State |    KY
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Taxonomy #3
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    Taxonomy Code        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    T7874
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    License Number State |    TX
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