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General NPI Number Information
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NPI Number | 1518742535
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Entity Type | Organization
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Legal Business Name | BEDAS MEDICAL AND WELLNESS CENTER, PLLC
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 7100 W 20TH AVE STE 214
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City | HIALEAH
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State | FL
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Zip | 33016-1812
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Country | US
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Telephone | 786-359-4852
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Fax |
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Provider Business Mailing Address
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Address Line | 7100 W 20TH AVE STE 214
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City | HIALEAH
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State | FL
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Zip | 33016-1812
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Country | US
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Telephone | 786-892-3327
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Fax | 786-937-6211
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | DR. PERPETUA NNEKA EZEH-AIDEYAN
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Credential | MD
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Telephone | 215-531-2848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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