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General NPI Number Information
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NPI Number | 1912319633
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Entity Type | Individual
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Provider Name | ASHLEY D'ORAZIO-BRADFIELD D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/29/2014
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 21298 OLEAN BLVD
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952
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Country | US
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Telephone | 941-624-8815
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Fax |
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Provider Business Mailing Address
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Address Line | 1133 BAL HARBOR BLVD SUITE 1139, PMB 135
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City | PUNTA GORDA
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State | FL
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Zip | 33950
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Country | US
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Telephone | 856-287-4485
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OS15597
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License Number State | FL
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