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General NPI Number Information
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NPI Number | 1609470848
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Entity Type | Individual
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Provider Name | DANIEL BEDIAKO PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/29/2020
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Last Update Date | 12/11/2020
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Provider Practice Location Address
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Address Line | 3706 S COUNTRY CLUB RD
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City | GARLAND
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State | TX
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Zip | 75043-1406
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Country | US
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Telephone | 214-532-4167
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Fax | 214-988-3032
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Provider Business Mailing Address
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Address Line | 509 LEEWARD DR
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City | MURPHY
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State | TX
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Zip | 75094-5347
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Country | US
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Telephone | 214-532-4167
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Fax |
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 57067
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 57067
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License Number State | TX
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