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General NPI Number Information
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NPI Number | 1245765684
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Entity Type | Organization
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Legal Business Name | BDS HEALTHCARE LLC
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Dates
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Enumeration Date | 04/24/2017
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Last Update Date | 04/24/2017
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Provider Practice Location Address
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Address Line | 1451 EARL L CORE RD
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City | MORGANTOWN
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State | WV
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Zip | 26505-0314
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Country | US
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Telephone | 972-665-7520
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Fax |
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Provider Business Mailing Address
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Address Line | 1321 VALWOOD PKWY SUITE 660
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City | CARROLLTON
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State | TX
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Zip | 75006-6882
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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 | OFFICIAL
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Name | DAR GRIFFETH
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Credential |
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Telephone | 972-665-7520
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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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