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General NPI Number Information
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NPI Number | 1427043256
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Entity Type | Organization
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Legal Business Name | BIKLE & BEIDLER DERM INC
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 10/22/2007
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Provider Practice Location Address
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Address Line | 19 N 5TH AVENUE
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-1752
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Country | US
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Telephone | 717-264-9797
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Fax | 717-264-7694
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Provider Business Mailing Address
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Address Line | 19 N 5TH AVENUE
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-1752
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Country | US
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Telephone | 717-264-9797
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Fax | 717-264-7694
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM LEE DAVIS
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Credential | MD
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Telephone | 717-264-9797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 015155E
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License Number State | PA
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