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General NPI Number Information
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NPI Number | 1639742414
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Entity Type | Organization
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Legal Business Name | ASHLEY DORAZIO-BRADFIELD DO PA
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Dates
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Enumeration Date | 07/20/2021
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Last Update Date | 07/20/2021
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Provider Practice Location Address
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Address Line | 2729 HIBISCUS CT
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City | PUNTA GORDA
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State | FL
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Zip | 33950-5090
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Country | US
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Telephone | 856-287-4485
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Fax | 877-619-1003
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Provider Business Mailing Address
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Address Line | 2729 HIBISCUS CT
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City | PUNTA GORDA
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State | FL
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Zip | 33950-5090
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Country | US
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Telephone | 856-287-4485
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Fax | 877-619-1003
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Authorized Official
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Title or Position | OWNER
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Name | DR. ASHLEY ROSE D'ORAZIO-BRADFIELD
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Credential | DO
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Telephone | 856-287-4485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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