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General NPI Number Information
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NPI Number | 1720299472
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Entity Type | Individual
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Provider Name | DANIEL P BRADY PA-C, DC
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Gender | Male
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 1 E LIBERTY ST STE 600
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City | RENO
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State | NV
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Zip | 89501-2110
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Country | US
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Telephone | 775-636-6200
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Fax | 775-249-0010
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Provider Business Mailing Address
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Address Line | 550 W PLUMB LN # 185
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City | RENO
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State | NV
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Zip | 89509-3468
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Country | US
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Telephone | 775-636-6200
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Fax | 775-249-0010
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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 | 175L00000X
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Taxonomy Name | Homeopath
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License Number | A-31007
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA1576
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | B01391
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License Number State | NV
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