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General NPI Number Information
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NPI Number | 1053631192
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Entity Type | Individual
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Provider Name | MATTHEW BRANDON BECK MD
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Gender | Male
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 9850 W ST LUKES DR STE 215
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City | NAMPA
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State | ID
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Zip | 83687-7912
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Country | US
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Telephone | 208-706-2663
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Fax | 208-489-4300
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Provider Business Mailing Address
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Address Line | 190 E BANNOCK ST
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City | BOISE
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State | ID
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Zip | 83712-6241
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Country | US
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Telephone |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 47689
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 11015741A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 35125492
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 3571836
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License Number State | ID
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