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General NPI Number Information
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NPI Number | 1871727032
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Entity Type | Organization
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Legal Business Name | DAVID J BEECHER, O.D., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/03/2009
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Last Update Date | 05/03/2009
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Provider Practice Location Address
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Address Line | 5400 MEADOWOOD MALL CIR SUITE A
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City | RENO
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State | NV
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Zip | 89502-6508
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Country | US
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Telephone | 775-826-2139
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Fax | 775-827-3061
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Provider Business Mailing Address
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Address Line | 5400 MEADOWOOD MALL CIR SUITE A
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City | RENO
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State | NV
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Zip | 89502-6508
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Country | US
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Telephone | 775-826-2139
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Fax | 775-827-3061
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID J BEECHER
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Credential | O.D.
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Telephone | 775-826-2139
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 636
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License Number State | NV
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