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General NPI Number Information
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NPI Number | 1184846909
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Entity Type | Organization
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Legal Business Name | JOHN J BECCHETTI MD INC
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3300 WEBSTER ST STE 201
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City | OAKLAND
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State | CA
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Zip | 94609
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Country | US
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Telephone | 510-834-7421
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Fax | 510-834-7426
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Provider Business Mailing Address
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Address Line | 3300 WEBSTER ST STE 201
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City | OAKLAND
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State | CA
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Zip | 94609
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Country | US
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Telephone | 510-834-7421
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Fax | 510-834-7426
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Authorized Official
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Title or Position | SURGEON
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Name | JOHN JOSEPH BECCHETTI
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Credential | MD
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Telephone | 510-834-7421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | C28615
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License Number State | CA
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