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General NPI Number Information
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NPI Number | 1831972983
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Entity Type | Organization
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Legal Business Name | BB MEDICAL GROUP, PC
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 78150 CALLE TAMPICO STE 100
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City | LA QUINTA
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State | CA
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Zip | 92253-2907
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Country | US
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Telephone | 760-636-6609
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Fax |
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Provider Business Mailing Address
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Address Line | 78150 CALLE TAMPICO STE 100
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City | LA QUINTA
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State | CA
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Zip | 92253-2907
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Country | US
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Telephone | 760-423-5253
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Fax | 760-423-5269
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Authorized Official
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Title or Position | PRESIDENT
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Name | MEGAN BAIKIE
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Credential | MD
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Telephone | 760-423-5253
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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