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General NPI Number Information
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NPI Number | 1740366392
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Entity Type | Individual
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Provider Name | ANTHONY JOHN BEISLER IV M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 2160 EWING CRAWFIS CIR
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City | BELLEFONTAINE
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State | OH
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Zip | 43311-9042
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Country | US
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Telephone | 937-292-7354
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Fax | 937-292-7528
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Provider Business Mailing Address
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Address Line | 2160 EWING CRAWFIS CIR
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City | BELLEFONTAINE
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State | OH
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Zip | 43311-9042
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Country | US
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Telephone | 937-292-7354
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Fax | 937-292-7528
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0584084
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License Number State | OH
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