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General NPI Number Information
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NPI Number | 1699054437
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Entity Type | Individual
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Provider Name | DAVID EUGENE BRADFORD D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/10/2011
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Last Update Date | 07/09/2015
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Provider Practice Location Address
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Address Line | 10198 SPRINGFIELD PIKE
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City | CINCINNATI
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State | OH
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Zip | 45215-1448
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Country | US
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Telephone | 513-772-9065
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Fax | 513-772-2961
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Provider Business Mailing Address
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Address Line | 10198 SPRINGFIELD PIKE
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City | CINCINNATI
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State | OH
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Zip | 45215-1448
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Country | US
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Telephone | 513-772-9065
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Fax | 513-772-2961
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4212
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH10312
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License Number State | FL
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