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General NPI Number Information
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NPI Number | 1144419672
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Entity Type | Organization
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Legal Business Name | NEIL M. BEALKA JR.,M.D. PA
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 2406 S. BUSINESS HWY 36
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City | GATESVILLE
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State | TX
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Zip | 76528
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Country | US
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Telephone | 254-865-4267
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Fax | 254-865-8293
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Provider Business Mailing Address
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Address Line | 2406 S. BUSINESS HWY 36
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City | GATESVILLE
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State | TX
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Zip | 76528-2518
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Country | US
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Telephone | 254-865-4267
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Fax | 254-865-8293
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. ALVIA A ROBLES
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Credential |
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Telephone | 254-865-4267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | J3044
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License Number State | TX
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