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General NPI Number Information
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NPI Number | 1194940106
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Entity Type | Individual
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Provider Name | ROBERT M BESTER D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 02/06/2013
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Provider Practice Location Address
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Address Line | 2945 AUTUMN DRIVE
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City | WOODRIDGE
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State | IL
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Zip | 60517
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Country | US
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Telephone | 630-586-0110
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Fax | 630-586-0120
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Provider Business Mailing Address
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Address Line | 2945 AUTUMN DRIVE
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City | WOODRIDGE
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State | IL
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Zip | 60517
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Country | US
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Telephone | 630-586-0110
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Fax | 630-586-0120
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 016.003027
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 316.000674
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License Number State | IL
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