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General NPI Number Information
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NPI Number | 1558667758
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Entity Type | Individual
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Provider Name | ALLYSON NICOLE BRADOW PSYD,
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Gender | Female
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Dates
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Enumeration Date | 02/04/2011
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Last Update Date | 04/17/2013
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Provider Practice Location Address
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Address Line | 1100 E MARKET ST
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City | LOUISVILLE
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State | KY
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Zip | 40206-1838
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Country | US
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Telephone | 502-592-1736
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Fax |
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Provider Business Mailing Address
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Address Line | 1401 SYLVAN WAY
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City | LOUISVILLE
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State | KY
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Zip | 40205-2476
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Country | US
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Telephone | 502-592-1736
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | KY-1706
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License Number State | KY
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