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General NPI Number Information
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NPI Number | 1528775418
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Entity Type | Organization
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Legal Business Name | B&D HEALTHCARE SOLUTIONS, PLLC
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Dates
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Enumeration Date | 11/01/2022
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 310 N ALAMO BLVD
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City | MARSHALL
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State | TX
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Zip | 75670-3451
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Country | US
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Telephone | 903-238-1852
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Fax | 903-935-8020
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Provider Business Mailing Address
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Address Line | 697 LANSING LN
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City | LONGVIEW
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State | TX
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Zip | 75605-6384
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Country | US
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Telephone | 903-238-1852
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Fax | 903-935-8020
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Authorized Official
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Title or Position | PROVIDER
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Name | MR. AUSTIN BRADY DAVIDSON
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Credential | FNP-C
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Telephone | 903-238-1852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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