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General NPI Number Information
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NPI Number | 1033328307
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Entity Type | Individual
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Provider Name | SCOTT DUANE BEDIGREW MS, ATC, CSCS
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Gender | Male
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1809 STUBBEMAN AVE
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City | NORMAN
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State | OK
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Zip | 73069-8659
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Country | US
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Telephone | 405-366-5954
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Fax | 405-573-3590
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Provider Business Mailing Address
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Address Line | 2860 DALEWOOD TER
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City | NORMAN
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State | OK
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Zip | 73071-4708
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Country | US
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Telephone |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT130
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License Number State | OK
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