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General NPI Number Information
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NPI Number | 1003926809
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Entity Type | Organization
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Legal Business Name | BEDEL'S INC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 409 W 5TH ST
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City | STORM LAKE
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State | IA
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Zip | 50588-1725
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Country | US
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Telephone | 712-732-4819
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Fax | 712-732-2627
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Provider Business Mailing Address
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Address Line | 409 W 5TH ST
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City | STORM LAKE
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State | IA
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Zip | 50588-1725
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Country | US
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Telephone | 712-732-4819
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Fax | 712-732-2627
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Authorized Official
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Title or Position | STAFF PHARMACIST
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Name | MR. TIMOTHY A MACH
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Credential | RPH
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Telephone | 712-732-4819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 29
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 29
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License Number State | IA
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