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General NPI Number Information
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NPI Number | 1972726313
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Entity Type | Individual
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Provider Name | DAMON R BESCIA DPT OCS SCS FAAOMPT
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Gender | Male
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 11/28/2018
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Provider Practice Location Address
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Address Line | 2140 SKYLANE DR
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City | NAPERVILLE
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State | IL
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Zip | 60564-9474
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Country | US
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Telephone | 630-408-9703
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Fax | 888-480-9020
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Provider Business Mailing Address
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Address Line | 2140 SKYLANE DR
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City | NAPERVILLE
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State | IL
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Zip | 60564-9474
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Country | US
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Telephone | 630-408-9703
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Fax | 888-480-9020
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 70015648
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License Number State | IL
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