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General NPI Number Information
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NPI Number | 1740058064
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Entity Type | Organization
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Legal Business Name | B&B MEDICAL GROUP, LLC.
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Dates
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Enumeration Date | 12/15/2023
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Last Update Date | 12/15/2023
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Provider Practice Location Address
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Address Line | 146 W US HIGHWAY 30
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City | SCHERERVILLE
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State | IN
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Zip | 46375-1852
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Country | US
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Telephone | 219-301-6619
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Fax | 219-301-9919
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Provider Business Mailing Address
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Address Line | 146 W US HIGHWAY 30
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City | SCHERERVILLE
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State | IN
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Zip | 46375-1852
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Country | US
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Telephone | 219-301-6619
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Fax | 219-301-9919
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MARGARET MCBRIDE-BAILEY
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Credential |
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Telephone | 219-301-6601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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