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General NPI Number Information
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NPI Number | 1972577062
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Entity Type | Individual
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Provider Name | PAUL JEFFREY BRADY M.D., M.P.H.
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Gender | Male
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8901 WISCONSIN AVENUE
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City | BETHESDA
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State | MD
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Zip | 20889-0001
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Country | US
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Telephone | 301-295-4611
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Fax |
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Provider Business Mailing Address
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Address Line | 13913 CARLSON FARM DR
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City | GERMANTOWN
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State | MD
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Zip | 20874-4481
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Country | US
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Telephone | 301-916-6470
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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 | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 044419
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License Number State | GA
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