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General NPI Number Information
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NPI Number | 1013154749
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Entity Type | Organization
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Legal Business Name | BEDFORD RESEARCH FOUNDATION
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Dates
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Enumeration Date | 01/16/2009
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Last Update Date | 04/11/2016
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Provider Practice Location Address
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Address Line | 124 SOUTH RD.
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City | BEDFORD
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State | MA
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Zip | 01730
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Country | US
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Telephone | 617-623-7447
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Fax | 781-271-9447
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Provider Business Mailing Address
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Address Line | P.O. BOX 1028
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City | BEDFORD
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State | MA
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Zip | 01730
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Country | US
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Telephone | 617-623-7447
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Fax | 781-271-9447
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ANN A KIESSLING
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Credential | PHD
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Telephone | 617-623-7447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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