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General NPI Number Information
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NPI Number | 1962615237
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Entity Type | Individual
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Provider Name | MARGOT BRADLEY CRNP
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 101 N MERION AVE BRYN MAWR COLLEGE HEALTH CENTER
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City | BRYN MAWR
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State | PA
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Zip | 19010
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Country | US
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Telephone | 610-526-7360
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Fax | 610-526-7365
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Provider Business Mailing Address
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Address Line | 931 WASHINGTON LANE
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City | RYDAL
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State | PA
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Zip | 19046-1706
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Country | US
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Telephone | 215-884-1005
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | SP004215G
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License Number State | PA
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