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General NPI Number Information
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NPI Number | 1972198331
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Entity Type | Individual
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Provider Name | JARAMIE DAVID BICKFORD CSFA, RFA
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Gender | Male
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Dates
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Enumeration Date | 03/07/2021
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Last Update Date | 03/07/2021
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Provider Practice Location Address
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Address Line | 2333 MCCALLIE AVE
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City | CHATTANOOGA
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State | TN
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Zip | 37404-3258
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Country | US
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Telephone | 423-493-1477
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Fax |
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Provider Business Mailing Address
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Address Line | 393 BLOOMINGTON DR
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City | DALTON
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State | GA
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Zip | 30721-1856
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Country | US
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Telephone | 706-537-5238
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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