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General NPI Number Information
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NPI Number | 1811973282
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Entity Type | Organization
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Legal Business Name | BIG BEND MEDICAL GROUP
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1501 W 11TH PL STE 100
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City | BIG SPRING
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State | TX
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Zip | 79720-4122
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Country | US
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Telephone | 432-263-6018
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5009
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City | BRENTWOOD
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State | TN
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Zip | 37024-5009
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Country | US
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Telephone | 615-221-1400
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Fax | 615-221-1484
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Authorized Official
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Title or Position | VP PHYSICIAN SERVICES FINANCIAL OPS
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Name | LAURA J FEY
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Credential |
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Telephone | 615-221-3641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology 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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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