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General NPI Number Information
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NPI Number | 1710256839
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Entity Type | Organization
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Legal Business Name | STEVEN K BIDLEMAN, M.D. P.C.
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 12/19/2011
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Provider Practice Location Address
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Address Line | 2680 UHRMANN RD SUITE A
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City | KLAMATH FALLS
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State | OR
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Zip | 97601-1174
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Country | US
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Telephone | 541-884-0639
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Fax | 541-884-6901
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Provider Business Mailing Address
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Address Line | 2680 UHRMANN RD SUITE A
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City | KLAMATH FALLS
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State | OR
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Zip | 97601-1174
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Country | US
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Telephone | 541-884-0639
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Fax | 541-884-6901
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Authorized Official
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Title or Position | BUSSINESS MANAGER
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Name | KAREN DEA BIDLEMAN
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Credential |
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Telephone | 541-884-0639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | MDO8423
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License Number State | OR
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