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General NPI Number Information
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NPI Number | 1194781138
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Entity Type | Individual
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Provider Name | ROBIN A BECK MD
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Gender | Female
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 1545 S 14TH ST
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-3049
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Country | US
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Telephone | 904-202-4243
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Fax | 904-390-7415
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Provider Business Mailing Address
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Address Line | 1545 S 14TH ST
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-3049
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Country | US
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Telephone | 904-202-4243
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Fax | 904-390-7415
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 173494
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License Number State | FL
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