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General NPI Number Information
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NPI Number | 1235233438
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Entity Type | Individual
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Provider Name | HAROLD JOSEPH BEAN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1002 E WESLEY DR SUITE 200
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City | O FALLON
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State | IL
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Zip | 62269-6136
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Country | US
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Telephone | 618-628-7080
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Fax | 618-628-9235
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Provider Business Mailing Address
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Address Line | 23 BERKLEY LN
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City | SAINT LOUIS
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State | MO
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Zip | 63124-2001
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Country | US
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Telephone | 314-872-3184
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | IL
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