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General NPI Number Information
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NPI Number | 1649690355
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Entity Type | Individual
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Provider Name | DANIEL BEISANG MD
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Gender | Male
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Dates
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Enumeration Date | 04/21/2014
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Last Update Date | 04/19/2022
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Provider Practice Location Address
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Address Line | 420 E 1ST ST
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City | DULUTH
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State | MN
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Zip | 55805-1901
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Country | US
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Telephone | 218-786-8364
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Fax |
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Provider Business Mailing Address
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Address Line | 1702 UNIVERSITY DR S
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City | FARGO
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State | ND
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Zip | 58103-4940
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Country | US
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Telephone | 701-364-4999
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Fax | 701-364-8476
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 61966
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | 61966
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License Number State | MN
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