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General NPI Number Information
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NPI Number | 1699799791
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Entity Type | Individual
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Provider Name | BRADLEY STEVEN SLOAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 11/30/2010
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Provider Practice Location Address
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Address Line | 801 W I-20
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City | ARLINGTON
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State | TX
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Zip | 76017-5851
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Country | US
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Telephone | 877-485-4474
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Fax |
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Provider Business Mailing Address
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Address Line | DEPT 960349
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City | OKLAHOMA CITY
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State | OK
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Zip | 73196-0349
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Country | US
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Telephone |
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | J0269
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License Number State | TX
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