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General NPI Number Information
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NPI Number | 1538470109
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Entity Type | Individual
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Provider Name | BRADLEY HERMAN STEPHENS M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2010
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 2222 VELA DR
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City | HARLINGEN
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State | TX
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Zip | 78550-8981
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Country | US
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Telephone | 956-804-5851
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Fax | 956-271-0289
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Provider Business Mailing Address
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Address Line | PO BOX 5730
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City | BELFAST
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State | ME
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Zip | 04915-5700
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Country | US
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Telephone |
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 2015031875
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 036160860
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | S7966
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License Number State | TX
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