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General NPI Number Information
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NPI Number | 1679550834
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Entity Type | Individual
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Provider Name | DR. JACQUELINE BEDINGFIELD PINARD
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Gender | Female
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 01/23/2017
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Provider Practice Location Address
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Address Line | 2544 COURT DR SUITE C
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City | GASTONIA
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State | NC
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Zip | 28054-3450
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Country | US
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Telephone | 704-867-5356
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Fax | 704-867-4990
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Provider Business Mailing Address
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Address Line | PO BOX 602478
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City | CHARLOTTE
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State | NC
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Zip | 28260-2478
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Country | US
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Telephone | 704-867-5356
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Fax | 704-867-4990
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 96-01223
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License Number State | NC
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