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General NPI Number Information
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NPI Number | 1831006956
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Entity Type | Individual
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Provider Name | BRADEN ATTEBURY DC
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Gender | Male
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 3232 INDEPENDENCE ST
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63701-4904
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Country | US
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Telephone | 573-335-7349
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Fax |
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Provider Business Mailing Address
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Address Line | 5828 FEATHER TRAIL RD
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City | ULLIN
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State | IL
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Zip | 62992-2125
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Country | US
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Telephone | 618-841-6885
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2026041130
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License Number State | MO
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