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General NPI Number Information
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NPI Number | 1679595136
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Entity Type | Organization
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Legal Business Name | BEDSTAT LLC
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 37463 DUTTON ROAD SUITE 300
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City | PRAIRIEVILLE
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State | LA
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Zip | 70769-5380
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Country | US
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Telephone | 225-677-9887
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Fax | 225-677-9887
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Provider Business Mailing Address
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Address Line | 37463 DUTTON ROAD SUITE 300
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City | PRAIRIEVILLE
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State | LA
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Zip | 70769-5380
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Country | US
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Telephone | 225-677-9887
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Fax | 225-677-9887
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Authorized Official
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Title or Position | OWNER
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Name | MS. CHRISTINE SHANDER SHANDER
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Credential | LPN, CF-O
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Telephone | 225-955-2248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | LA
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