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General NPI Number Information
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NPI Number | 1144519018
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Entity Type | Individual
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Provider Name | BEIBEI OELRICH M.D. PHD
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Gender | Female
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Dates
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Enumeration Date | 03/31/2011
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 501 LIVE OAK ST STE A
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32168-7300
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Country | US
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Telephone | 386-243-4856
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Fax | 386-231-6582
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Provider Business Mailing Address
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Address Line | 320 RACETRACK RD NW STE 100C
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-1796
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Country | US
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Telephone | 850-863-0883
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 57.020462
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 133986
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License Number State | FL
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