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General NPI Number Information
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NPI Number | 1225213457
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Entity Type | Organization
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Legal Business Name | LAWRENCE J. BEURET, M.D.,S.C.
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 01/07/2008
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Provider Practice Location Address
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Address Line | 4811 EMERSON AVE SUITE 209
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City | PALATINE
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State | IL
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Zip | 60067-0500
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Country | US
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Telephone | 847-303-1800
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Fax | 847-303-1858
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Provider Business Mailing Address
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Address Line | 4811 EMERSON AVE SUITE 209
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City | PALATINE
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State | IL
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Zip | 60067-0500
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Country | US
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Telephone | 847-303-1800
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Fax | 847-303-1858
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAWRENCE J BEURE
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Credential | M.D.
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Telephone | 847-303-1800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State | IL
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