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General NPI Number Information
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NPI Number | 1063611309
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Entity Type | Organization
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Legal Business Name | JOHN R BECKER JR MD INC
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 09/30/2011
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Provider Practice Location Address
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Address Line | 550 PARMALEE AVE SUITE 200
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City | YOUNGSTOWN
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State | OH
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Zip | 44510-1602
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Country | US
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Telephone | 330-746-4001
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Fax | 330-480-6319
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Provider Business Mailing Address
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Address Line | 550 PARMALEE AVE SUITE 200
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City | YOUNGSTOWN
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State | OH
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Zip | 44510-1602
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Country | US
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Telephone | 330-746-4001
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Fax | 330-480-6319
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Authorized Official
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Title or Position | ACCOUNTS MANAGER
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Name | CYNDEE FISHER
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Credential |
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Telephone | 3303302708494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State | OH
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