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General NPI Number Information
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NPI Number | 1598852535
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Entity Type | Individual
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Provider Name | JEFFREY DAVID BEIDEMAN DMD
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Gender | Male
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4 CHELMSFORD RD
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City | ROCHESTER
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State | NY
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Zip | 14618-1755
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Country | US
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Telephone | 585-244-4830
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Fax | 585-244-4889
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Provider Business Mailing Address
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Address Line | 94 COVENTRY AVE
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City | ROCHESTER
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State | NY
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Zip | 14610-1025
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Country | US
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Telephone | 585-288-8525
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Fax | 585-244-4889
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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 | 032338
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License Number State | NY
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