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General NPI Number Information
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NPI Number | 1962925958
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Entity Type | Individual
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Provider Name | CHRISTINA BRADDY NP
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Gender | Female
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Dates
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Enumeration Date | 07/21/2017
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 2800 EISENHOWER AVE STE 220
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City | ALEXANDRIA
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State | VA
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Zip | 22314-4587
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Country | US
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Telephone | 888-803-3370
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Fax | 888-803-3331
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Provider Business Mailing Address
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Address Line | 15200 LEICESTERSHIRE ST UNIT 140
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City | WOODBRIDGE
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State | VA
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Zip | 22191-5921
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Country | US
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Telephone | 813-629-0442
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 24179504
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95006859
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1030449
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN9312489
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11775866-4405
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License Number State | UT
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A159265
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License Number State | IA
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