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General NPI Number Information
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NPI Number | 1720235153
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Entity Type | Organization
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Legal Business Name | WALTER A BESSER,PC
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Dates
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Enumeration Date | 08/27/2008
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Last Update Date | 12/04/2009
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Provider Practice Location Address
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Address Line | 3071 29TH ST
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City | ASTORIA
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State | NY
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Zip | 11102-2756
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Country | US
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Telephone | 718-204-7752
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Fax | 718-721-9248
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Provider Business Mailing Address
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Address Line | 3071 29TH ST
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City | ASTORIA
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State | NY
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Zip | 11102-2756
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Country | US
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Telephone | 718-204-7752
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Fax | 718-721-9248
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WALTER A BESSER
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Credential | M.D.
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Telephone | 718-204-7752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 114623
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License Number State | NY
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