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General NPI Number Information
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NPI Number | 1689773772
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Entity Type | Organization
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Legal Business Name | BRADLEY A. APPL, M.D., P.C.
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1420 S 42ND ST
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City | KANSAS CITY
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State | KS
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Zip | 66106-1952
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Country | US
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Telephone | 913-831-1100
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Fax | 913-831-0827
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Provider Business Mailing Address
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Address Line | 1420 S 42ND ST
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City | KANSAS CITY
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State | KS
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Zip | 66106-1952
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Country | US
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Telephone | 913-831-1100
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Fax | 913-831-0827
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Authorized Official
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Title or Position | OWNER
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Name | BRADLEY ALAN APPL
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Credential | M.D.
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Telephone | 913-831-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R&E24
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 21690
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License Number State | KS
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