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General NPI Number Information
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NPI Number | 1285688002
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Entity Type | Individual
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Provider Name | WALTER D BEAM D.O
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Gender | Male
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 05/30/2008
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Provider Practice Location Address
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Address Line | 3520 ROUTE 130 BLDG 1
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City | IRWIN
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State | PA
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Zip | 15642-1438
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Country | US
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Telephone | 724-744-3700
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Fax | 724-744-3702
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Provider Business Mailing Address
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Address Line | 3520 ROUTE 130 BLDG 1
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City | IRWIN
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State | PA
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Zip | 15642-1438
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Country | US
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Telephone | 724-744-3700
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Fax | 724-744-3702
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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 | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | OS-004131L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | OS 004131L
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License Number State | PA
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