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General NPI Number Information
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NPI Number | 1326163478
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Entity Type | Organization
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Legal Business Name | BDM ASSOCIATES LLC
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 06/09/2011
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Provider Practice Location Address
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Address Line | 3301 BERRYWOOD DRIVE SUITE 204
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City | COLUMBIA
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State | MO
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Zip | 65201
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Country | US
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Telephone | 573-449-6082
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Fax | 573-449-0401
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Provider Business Mailing Address
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Address Line | 3222 W 16 STREET
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City | SEDALIA
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State | MO
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Zip | 65301
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Country | US
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Telephone | 660-827-6800
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Fax | 660-827-6810
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Authorized Official
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Title or Position | DIRECTOR OF BILLING
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Name | BRENDA J REEDER
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Credential |
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Telephone | 573-449-6082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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