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General NPI Number Information
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NPI Number | 1285580878
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Entity Type | Organization
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Legal Business Name | JOHN W BEDEAU, MD PC
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 9301 LARGO DR W STE 201
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City | LARGO
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State | MD
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Zip | 20774-4884
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Country | US
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Telephone | 301-350-8722
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Fax | 301-350-8822
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Provider Business Mailing Address
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Address Line | 9301 LARGO DR W STE 201
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City | LARGO
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State | MD
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Zip | 20774-4884
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Country | US
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Telephone | 301-350-8722
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Fax | 301-350-8822
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. JOHN WYCLIFF BEDEAU
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Credential | MD
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Telephone | 301-350-8722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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