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General NPI Number Information
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NPI Number | 1851930606
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Entity Type | Organization
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Legal Business Name | BRADSHAW CONSULTING AND ADVISING
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Dates
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Enumeration Date | 12/26/2019
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Last Update Date | 02/14/2020
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Provider Practice Location Address
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Address Line | 5917 CARY AVE APT 4
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City | CINCINNATI
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State | OH
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Zip | 45224-2450
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Country | US
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Telephone | 859-466-4754
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Fax |
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Provider Business Mailing Address
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Address Line | 35 PLYMOUTH LN
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City | ELSMERE
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State | KY
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Zip | 41018-2717
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Country | US
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Telephone | 859-816-6890
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KENNETRA BRADSHAW
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Credential | RDN
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Telephone | 859-466-4754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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