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General NPI Number Information
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NPI Number | 1710364377
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Entity Type | Individual
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Provider Name | BRANDON DAVID BADER MD, MS
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Gender | Male
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Dates
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Enumeration Date | 05/04/2015
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 9180 PINECROFT DR STE 400
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City | SHENANDOAH
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State | TX
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Zip | 77380-3899
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Country | US
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Telephone | 713-897-7221
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Fax |
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Provider Business Mailing Address
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Address Line | 9180 PINECROFT DR STE 400
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City | SHENANDOAH
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State | TX
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Zip | 77380-3899
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Country | US
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Telephone | 713-897-7221
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 294792
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | V3556
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 294792
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | V3556
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License Number State | TX
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