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General NPI Number Information
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NPI Number | 1114061504
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Entity Type | Individual
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Provider Name | JOHN ROBERT BEUERLE MD
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Gender | Male
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Dates
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Enumeration Date | 02/18/2007
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 22 S GREENE ST EMERGENCY DEPT
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City | BALTIMORE
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State | MD
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Zip | 21201-1544
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Country | US
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Telephone | 410-328-8025
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Fax | 410-328-8028
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Provider Business Mailing Address
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Address Line | 110 S PACA ST EMERGENCY MEDICINE, 6TH FL
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City | BALTIMORE
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State | MD
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Zip | 21201-1642
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Country | US
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Telephone | 410-328-8025
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Fax | 410-328-8028
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | S4726
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A97723
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License Number State | CA
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