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NPI Code Detail

MEDICARE: TASNEEM BEDAIR

MEDICARE: TASNEEM BEDAIR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist50758TX

General Provider Information

NPI Number : 1780285999
Entity Type Code : Individual
Provider Name (Legal Business Name) : TASNEEM BEDAIR
Provider Business Mailing Address
First Line : 1815 BROTHERS BLVD
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77845-5413
Country : US
Telephone Number : 979-693-3841
Fax Number :
Provider Business Practice Location Address
First Line : 1815 BROTHERS BLVD
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77845-5413
Country : US
Telephone Number : 979-693-3841
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2020
Last Update Date : 11/04/2020

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Directions to “ TASNEEM BEDAIR ” Practice Location

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