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General NPI Number Information
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NPI Number | 1457585341
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Entity Type | Organization
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Legal Business Name | KARL J. BEER LLC
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Dates
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Enumeration Date | 05/07/2009
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Last Update Date | 10/12/2009
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Provider Practice Location Address
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Address Line | 2865 N REYNOLDS RD SUITE 160
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City | TOLEDO
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State | OH
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Zip | 43615-2068
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Country | US
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Telephone | 419-578-4260
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Fax | 419-537-5630
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Provider Business Mailing Address
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Address Line | 2865 N REYNOLDS RD SUITE 160
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City | TOLEDO
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State | OH
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Zip | 43615-2068
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Country | US
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Telephone | 419-578-4260
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Fax | 419-537-5630
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Authorized Official
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Title or Position | SENIOR CREDENTIALING COORDINATOR
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Name | AMY L BAHNSEN
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Credential |
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Telephone | 419-824-7334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | OH
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