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General NPI Number Information
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NPI Number | 1124584461
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Entity Type | Organization
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Legal Business Name | BESECKER CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 02/12/2019
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Last Update Date | 02/12/2019
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Provider Practice Location Address
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Address Line | 22 N MIAMI ST
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City | WEST MILTON
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State | OH
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Zip | 45383-1830
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Country | US
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Telephone | 937-314-4180
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Fax |
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Provider Business Mailing Address
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Address Line | 8707 DELISLE FOURMAN RD
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City | ARCANUM
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State | OH
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Zip | 45304-9724
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Country | US
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Telephone | 937-477-7968
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Fax | 937-999-6141
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID L BESECKER
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Credential | DC
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Telephone | 937-477-7968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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