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General NPI Number Information
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NPI Number | 1467433524
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Entity Type | Individual
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Provider Name | NOEL W BEDWELL M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 05/06/2019
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Provider Practice Location Address
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Address Line | 6701 AIRPORT BLVD SUITE A107
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City | MOBILE
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State | AL
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Zip | 36608-6705
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Country | US
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Telephone | 251-435-8572
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Fax | 251-435-8615
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Provider Business Mailing Address
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Address Line | 6701 AIRPORT BLVD SUITE A107
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City | MOBILE
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State | AL
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Zip | 36608-6705
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Country | US
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Telephone | 251-433-4700
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Fax | 251-435-8549
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 15904
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 12166
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 12166
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License Number State | AL
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