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General NPI Number Information
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NPI Number | 1235289950
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Entity Type | Individual
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Provider Name | ELIZABETH JANE BEAUTYMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 01/09/2012
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Provider Practice Location Address
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Address Line | 315 W 57TH ST SUITE 304
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City | NEW YORK
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State | NY
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Zip | 10019-3158
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Country | US
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Telephone | 212-755-0285
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Fax | 212-977-3494
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Provider Business Mailing Address
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Address Line | 315 W 57TH ST SUITE 304
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City | NEW YORK
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State | NY
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Zip | 10019-3158
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Country | US
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Telephone | 212-755-0285
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Fax | 212-977-3494
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 147796
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 147796
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License Number State | NY
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