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General NPI Number Information
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NPI Number | 1821066788
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Entity Type | Individual
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Provider Name | DAVID C BRADSHAW MD
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 08/21/2019
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Provider Practice Location Address
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Address Line | 280 N HOSPITAL DR STE 2
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City | PRICE
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State | UT
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Zip | 84501-4211
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Country | US
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Telephone | 435-613-2229
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Fax | 435-613-2230
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Provider Business Mailing Address
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Address Line | 280 N HOSPITAL DR STE 2
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City | PRICE
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State | UT
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Zip | 84501-4211
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Country | US
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Telephone | 435-613-2229
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Fax | 435-613-2230
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 8066427-1205
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License Number State | UT
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