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General NPI Number Information
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NPI Number | 1053934745
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Entity Type | Organization
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Legal Business Name | BEDELL DME LLC
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Dates
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Enumeration Date | 05/28/2020
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Last Update Date | 05/28/2020
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Provider Practice Location Address
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Address Line | 638 E YOUNG AVE
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City | WARRENSBURG
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State | MO
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Zip | 64093
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Country | US
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Telephone | 660-429-5533
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Fax | 816-426-5554
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Provider Business Mailing Address
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Address Line | 638 E YOUNG AVE
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City | WARRENSBURG
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State | MO
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Zip | 64093
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Country | US
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Telephone | 660-429-5533
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Fax | 816-426-5554
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Authorized Official
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Title or Position | MEMBER
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Name | DARCY RACHELLE BEDELL
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Credential |
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Telephone | 660-429-5533
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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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