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NPI 1215144811

NPI 1215144811 : MARIEANNE GIARDINA-BECKETT MD : SECAUCUS, NJ

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General NPI Number Information
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    NPI Number           |    1215144811
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    Entity Type          |    Organization 
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    Legal Business Name  |    MARIEANNE GIARDINA-BECKETT MD 
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Dates
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    Enumeration Date     |    05/16/2007
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    Last Update Date     |    08/13/2007
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Provider Practice Location Address
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    Address Line         |    1 HARMON PLZ 
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    City                 |    SECAUCUS
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    State                |    NJ
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    Zip                  |    07094-2803
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    Country              |    US
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    Telephone            |    201-348-8911
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    Fax                  |    201-348-2169
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Provider Business Mailing Address
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    Address Line         |    1 HARMON PLZ 
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    City                 |    SECAUCUS
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    State                |    NJ
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    Zip                  |    07094-2803
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    Country              |    US
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    Telephone            |    201-348-8911
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    Fax                  |    201-348-2169
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. MARIEANNE  GIARDINA-BECKETT 
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    Credential           |    M.D.
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    Telephone            |    201-348-8911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    
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    License Number State |    
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