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General NPI Number Information
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NPI Number | 1629364864
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Entity Type | Organization
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Legal Business Name | BRADLEY'S HOME HEALTH CARE CENTER
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Dates
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Enumeration Date | 06/27/2011
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Last Update Date | 07/06/2011
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Provider Practice Location Address
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Address Line | 5208 CHARLOTTE AVENUE
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City | NASHVILLE
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State | TN
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Zip | 37209-3321
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Country | US
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Telephone | 615-383-9516
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Fax | 615-279-1347
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Provider Business Mailing Address
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Address Line | 5208 CHARLOTTE PIKE
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City | NASHVILLE
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State | TN
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Zip | 37209-3321
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Country | US
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Telephone | 615-383-9516
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Fax | 615-279-1347
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Authorized Official
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Title or Position | CEO
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Name | MR. PHILLIP W. BRADLEY
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Credential |
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Telephone | 615-383-9516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 4437477
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License Number State | TN
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