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General NPI Number Information
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NPI Number | 1679711956
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Entity Type | Individual
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Provider Name | SHELDON SCOTT BRADLEY CRNP
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Gender | Male
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Dates
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Enumeration Date | 01/26/2009
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | ENVISION HEALTHCARE 1525 W. CYPRESS CREEK RD
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City | FT LAUDERDALE
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State | FL
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Zip | 33309
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Country | US
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Telephone | 615-787-2050
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Fax |
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Provider Business Mailing Address
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Address Line | 5 FRENCHMENS KY
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-8621
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Country | US
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Telephone | 251-599-0353
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 26NJ01276700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 888263
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 179177
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License Number State | MT
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 179177
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License Number State | KS
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024174418
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0040291
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License Number State | OH
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F347239-01
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1-094533
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License Number State | AL
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