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General NPI Number Information
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NPI Number | 1609962992
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Entity Type | Individual
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Provider Name | BULENT DINCER M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 08/11/2011
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Provider Practice Location Address
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Address Line | 517 E WATERS EDGE DR
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City | BELLEVILLE
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State | IL
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Zip | 62221-7813
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Country | US
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Telephone | 618-304-7235
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Fax | 618-304-7235
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Provider Business Mailing Address
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Address Line | 517 EAST WATERS EDGE DRIVE
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City | BELLEVILLE
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State | IL
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Zip | 62221-7813
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Country | US
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Telephone | 618-304-7235
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Fax | 618-304-7235
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036063633
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 036063633
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License Number State | IL
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