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General NPI Number Information
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NPI Number | 1831115765
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Entity Type | Individual
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Provider Name | DOUGLAS MARK BICKERS MD
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 1919 STATE STREET SUITE 248
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City | NEW ALBANY
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State | IN
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Zip | 47150
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Country | US
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Telephone | 812-945-7972
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Fax | 812-945-7969
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Provider Business Mailing Address
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Address Line | 800 HIGHLANDER POINT DR STE 204
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City | FLOYDS KNOBS
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State | IN
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Zip | 47119-9465
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Country | US
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Telephone | 812-542-4921
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Fax | 812-949-5966
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01032441A
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License Number State | IN
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