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General NPI Number Information
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NPI Number | 1659688927
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Entity Type | Individual
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Provider Name | MR. STEVEN JUSTIN BRADLEY
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Gender | Male
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Dates
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Enumeration Date | 09/08/2010
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Last Update Date | 09/08/2010
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Provider Practice Location Address
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Address Line | 18 COUNTY CENTER DR
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City | OROVILLE
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State | CA
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Zip | 95965-3335
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Country | US
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Telephone | 530-538-7005
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Fax |
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Provider Business Mailing Address
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Address Line | 23435 CARONA AVE
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City | CORNING
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State | CA
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Zip | 96021-9605
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Country | US
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Telephone | 530-824-0331
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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