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General NPI Number Information
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NPI Number | 1124078134
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Entity Type | Organization
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Legal Business Name | MEDS INC.
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 01/16/2013
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Provider Practice Location Address
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Address Line | 3348 N GORDON PL
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City | MILWAUKEE
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State | WI
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Zip | 53212-1810
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Country | US
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Telephone | 414-962-1734
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Fax |
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Provider Business Mailing Address
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Address Line | 3348 N GORDON PL
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City | MILWAUKEE
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State | WI
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Zip | 53212-1810
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Country | US
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Telephone | 414-962-1734
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFF BECKER
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Credential | BA, RDCS
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Telephone | 414-962-1734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246XS1301X
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Taxonomy Name | Sonography Specialist/Technologist Cardiovascular
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License Number |
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License Number State |
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