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General NPI Number Information
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NPI Number | 1245299213
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Entity Type | Individual
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Provider Name | LINDA BEDELL MD
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Gender | Female
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Dates
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Enumeration Date | 03/20/2006
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Last Update Date | 06/08/2009
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Provider Practice Location Address
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Address Line | 9205 E US HIGHWAY 223
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City | BLISSFIELD
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State | MI
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Zip | 49228-9665
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Country | US
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Telephone | 517-486-5456
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Fax | 517-486-0226
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Provider Business Mailing Address
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Address Line | 9205 E US HIGHWAY 223 PO BOX 86
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City | BLISSFIELD
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State | MI
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Zip | 49228-9665
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Country | US
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Telephone | 517-486-5456
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Fax | 517-486-0226
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301073625
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License Number State | MI
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