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General NPI Number Information
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NPI Number | 1679400675
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Entity Type | Organization
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Legal Business Name | BRADFORD OB/GYN
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 12611 N COMMUNITY HOUSE RD
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City | CHARLOTTE
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State | NC
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Zip | 28277-3816
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Country | US
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Telephone | 704-973-2106
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Fax |
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Provider Business Mailing Address
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Address Line | 1158 SHELLY WOODS DR
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City | INDIAN LAND
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State | SC
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Zip | 29707-7789
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Country | US
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Telephone | 909-306-7522
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Fax |
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Authorized Official
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Title or Position | TRIAGE RN
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Name | KARI HYMAN
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Credential | RN
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Telephone | 704-973-2106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP1700X
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Taxonomy Name | Perinatal Registered Nurse
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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 | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number |
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License Number State |
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