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General NPI Number Information
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NPI Number | 1265667794
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Entity Type | Organization
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Legal Business Name | SCOTT T. BEDELL DDS,PC
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Dates
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Enumeration Date | 05/28/2009
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Last Update Date | 05/28/2009
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Provider Practice Location Address
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Address Line | 2 W MILL ST
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City | MEDFIELD
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State | MA
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Zip | 02052-1507
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Country | US
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Telephone | 508-359-8004
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Fax | 508-359-7443
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Provider Business Mailing Address
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Address Line | 2 W MILL ST
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City | MEDFIELD
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State | MA
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Zip | 02052-1507
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Country | US
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Telephone | 508-359-8004
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Fax | 508-359-7443
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Authorized Official
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Title or Position | DENTIST
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Name | DR. SCOTT T BEDELL
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Credential | DDS
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Telephone | 508-359-8004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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