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General NPI Number Information
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NPI Number | 1568571644
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Entity Type | Organization
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Legal Business Name | IAN H BEISER, DPM, PC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 07/26/2009
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Provider Practice Location Address
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Address Line | 1145 19TH ST NW #203
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City | WASHINGTON
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State | DC
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Zip | 20036-3701
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Country | US
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Telephone | 202-833-9109
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Fax |
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Provider Business Mailing Address
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Address Line | 1145 19TH ST NW #203
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City | WASHINGTON
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State | DC
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Zip | 20036-3701
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | IAN H BEISER
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Credential | DPM
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Telephone | 202-833-9109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO497
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License Number State | DC
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