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General NPI Number Information
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NPI Number | 1134568975
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Entity Type | Individual
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Provider Name | MR. CHRISTOPHER WD BESSON
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Gender | Male
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Dates
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Enumeration Date | 06/14/2013
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Last Update Date | 06/14/2013
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Provider Practice Location Address
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Address Line | 945 DUKE ST
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City | LEBANON
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State | PA
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Zip | 17042-7216
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Country | US
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Telephone | 717-274-1495
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Fax |
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Provider Business Mailing Address
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Address Line | 1920 OLD SPRINGVILLE RD
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City | CENTER POINT
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State | AL
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Zip | 35215-5858
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Country | US
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Telephone | 205-520-9600
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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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | OC012860
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License Number State | PA
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