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General NPI Number Information
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NPI Number | 1306785886
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Entity Type | Organization
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Legal Business Name | BDC MEDICAL PLLC
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Dates
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Enumeration Date | 03/27/2026
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 211 N ILLINOIS ST
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City | WEATHERFORD
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State | OK
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Zip | 73096-5437
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Country | US
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Telephone | 405-751-0011
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 654470
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City | DALLAS
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State | TX
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Zip | 75265-4470
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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 | MD
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Name | BLAKE DALBERT CHRISTENSEN
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Credential |
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Telephone | 405-751-0011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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