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General NPI Number Information
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NPI Number | 1013181841
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Entity Type | Individual
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Provider Name | BRUCE BECKERMAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2008
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Last Update Date | 04/14/2008
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Provider Practice Location Address
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Address Line | 41 SILVER CHARM RD
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City | MANALAPAN
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State | NJ
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Zip | 07726-9575
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Country | US
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Telephone | 732-446-1301
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Fax |
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Provider Business Mailing Address
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Address Line | 41 SILVER CHARM RD
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City | MANALAPAN
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State | NJ
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Zip | 07726-9575
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Country | US
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Telephone | 732-446-1301
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Fax |
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 48566
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License Number State | NJ
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