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General NPI Number Information
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NPI Number | 1558732412
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Entity Type | Individual
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Provider Name | DAVID MYLES BECHTEL O.D. M.P.H. M.B.A.
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Gender | Male
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Dates
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Enumeration Date | 10/16/2015
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Last Update Date | 07/07/2016
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Provider Practice Location Address
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Address Line | 619 ADRIAN ST
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City | DELTA
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State | OH
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Zip | 43515-9702
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Country | US
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Telephone | 419-508-3033
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Fax |
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Provider Business Mailing Address
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Address Line | 619 ADRIAN ST
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City | DELTA
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State | OH
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Zip | 43515-9702
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Country | US
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Telephone | 419-508-3033
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT.6426
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618002460
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2020-IOD1
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License Number State | WV
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