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Individual
TIMOTHY D BEDDOW
Active
Individual
TIMOTHY D BEDDOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
35056142B
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35056142B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0981193
—
OH
Enumeration date
08/20/2006
Last updated
10/31/2012
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