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General NPI Number Information
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NPI Number | 1629029160
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Entity Type | Individual
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Provider Name | BRAD ALAN CASE MD
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Gender | Male
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 08/20/2016
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Provider Practice Location Address
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Address Line | 2478 PATTERSON RD SUITE 4
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-3605
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Country | US
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Telephone | 970-773-1946
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Fax | 970-644-5399
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Provider Business Mailing Address
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Address Line | 2478 PATTERSON ROAD SUITE 4
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City | GRAND JUNCTION
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State | CO
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Zip | 81505
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Country | US
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Telephone | 970-773-1946
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Fax | 970-644-5399
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | ME0075990
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME75990
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME0075990
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | ME75990
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License Number State | FL
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