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General NPI Number Information
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NPI Number | 1518172576
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Entity Type | Individual
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Provider Name | DR. WILLIAM JOHN BECKER
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Gender | Male
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Dates
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Enumeration Date | 05/13/2007
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Last Update Date | 04/11/2018
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Provider Practice Location Address
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Address Line | 2630 NEW SUTTON RD
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60192
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Country | US
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Telephone | 847-884-8484
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Fax | 847-884-8486
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Provider Business Mailing Address
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Address Line | 702 E WAVERLY DR
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City | ARLINGTON HTS
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State | IL
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Zip | 60004-2639
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Country | US
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Telephone | 847-394-8961
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Fax | 847-394-5497
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 019-12876
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License Number State | IL
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