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General NPI Number Information
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NPI Number | 1336222124
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Entity Type | Organization
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Legal Business Name | DRS. BECHERER, BECHERER & ASSOCIATES, LTD
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 08/05/2014
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Provider Practice Location Address
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Address Line | 1 PARK PLACE PROFESSIONAL CTR.
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City | BELLEVILLE
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State | IL
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Zip | 62226-2943
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Country | US
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Telephone | 618-233-3040
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Fax | 618-233-3739
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Provider Business Mailing Address
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Address Line | 1 PARK PLACE PROFESSIONAL CENTRE
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City | BELLEVILLE
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State | IL
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Zip | 62226
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Country | US
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Telephone | 618-233-3040
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Fax | 618-233-3739
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL DOUGLAS BECHERER
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Credential | O.D.
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Telephone | 618-233-3040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 046006704
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License Number State | IL
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