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General NPI Number Information
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NPI Number | 1730047093
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Entity Type | Individual
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Provider Name | APRIL BRADLEY
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Gender |
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 2919 CROSSING CT STE 2
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City | CHAMPAIGN
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State | IL
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Zip | 61822-5904
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Country | US
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Telephone | 844-764-2726
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Fax |
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Provider Business Mailing Address
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Address Line | 501 W ELM ST
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City | FAIRBURY
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State | IL
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Zip | 61739-1435
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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