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General NPI Number Information
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NPI Number | 1518021294
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Entity Type | Individual
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Provider Name | JOHN FRANKLYN BRADSHAW M.S.,LMFT
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Gender | Male
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 01/11/2026
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Provider Practice Location Address
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Address Line | 215 S BICKETT BLVD
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City | LOUISBURG
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State | NC
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Zip | 27549-2607
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Country | US
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Telephone | 919-497-4500
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Fax | 919-497-5407
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Provider Business Mailing Address
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Address Line | 924 HORSETRAIL WAY
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City | WAKE FOREST
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State | NC
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Zip | 27587-4605
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Country | US
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Telephone | 919-497-5400
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Fax | 919-497-5407
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 1049
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | F0070
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License Number State | OH
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