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General NPI Number Information
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NPI Number | 1801889761
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Entity Type | Individual
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Provider Name | MAHLON ARTHUR BRADLEY MD
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Gender | Male
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 01/24/2020
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Provider Practice Location Address
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Address Line | 7 PAGE HILL RD
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City | BERLIN
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State | NH
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Zip | 03570-3531
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Country | US
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Telephone | 603-752-2300
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Fax | 603-752-1836
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Provider Business Mailing Address
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Address Line | PO BOX 547 ATT: CVMC-FINANCE DEPT
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City | BARRE
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State | VT
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Zip | 05641-0547
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Country | US
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Telephone | 802-225-3970
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Fax | 802-225-1733
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 260251
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 042.0012673
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 57227
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 042.0012673
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License Number State | VT
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 19700
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License Number State | NH
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