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General NPI Number Information
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NPI Number | 1265550826
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Entity Type | Organization
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Legal Business Name | BECKLEY PODIATRY ASSOCIATES INC
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 100 NORTH HEIGHTS DRIVE
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City | BECKLEY
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State | WV
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Zip | 25801
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Country | US
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Telephone | 304-253-3372
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Fax | 304-253-6685
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Provider Business Mailing Address
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Address Line | 100 NORTH HEIGHTS DRIVE
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City | BECKLEY
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State | WV
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Zip | 25801
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Country | US
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Telephone | 304-253-3372
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Fax | 304-253-6685
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Authorized Official
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Title or Position | PARTNER
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Name | CHARLES A TAYLOR II
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Credential | DPM
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Telephone | 304-253-3372
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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