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General NPI Number Information
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NPI Number | 1295718138
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Entity Type | Individual
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Provider Name | ROGER DENNIS BEYER M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 10/07/2015
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Provider Practice Location Address
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Address Line | 7110 STADIUM DR
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City | KALAMAZOO
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State | MI
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Zip | 49009-9423
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Country | US
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Telephone | 269-372-7600
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Fax | 269-372-7604
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Provider Business Mailing Address
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Address Line | 7110 STADIUM DRIVE
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City | KALAMAZOO
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State | MI
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Zip | 49009-9423
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Country | US
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Telephone | 269-372-7600
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Fax | 269-372-7604
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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 | 207VF0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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License Number | 4301046890
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License Number State | MI
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