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General NPI Number Information
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NPI Number | 1770648594
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Entity Type | Organization
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Legal Business Name | BBDM, INC.
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2573 RICHMOND RD STE. 385
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City | LEXINGTON
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State | KY
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Zip | 40509-1700
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Country | US
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Telephone | 859-489-3096
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Fax |
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Provider Business Mailing Address
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Address Line | 3322 LEXINGTON RD
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City | RICHMOND
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State | KY
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Zip | 40475-9145
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID MARCUS
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Credential |
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Telephone | 859-489-3096
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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 |
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