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General NPI Number Information
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NPI Number | 1730016668
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Entity Type | Organization
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Legal Business Name | BHW DIAGNOSTICS
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 101 N MARKET ST STE D-200
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City | BENSON
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State | NC
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Zip | 27504-1514
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Country | US
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Telephone | 919-404-9006
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Fax | 919-661-8195
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Provider Business Mailing Address
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Address Line | 101 N MARKET ST STE D-200
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City | BENSON
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State | NC
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Zip | 27504-1514
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Country | US
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Telephone | 919-404-9006
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Fax | 919-661-8195
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Authorized Official
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Title or Position | OWNER
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Name | DR. KATINA BLUE
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Credential |
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Telephone | 919-696-1296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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