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General NPI Number Information
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NPI Number | 1780601237
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Entity Type | Individual
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Provider Name | JASON BREDENKAMP M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 3700 WASHINGTON AVE
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City | EVANSVILLE
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State | IN
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Zip | 47714-0541
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Country | US
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Telephone | 812-485-4491
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Fax |
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Provider Business Mailing Address
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Address Line | 5553 AUTUMN RIDGE DR
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City | NEWBURGH
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State | IN
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Zip | 47630-3286
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Country | US
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Telephone | 815-222-5643
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036-100921
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 56319
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 46528-20
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 160629
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01085177A
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License Number State | IN
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