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General NPI Number Information
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NPI Number | 1356937429
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Entity Type | Individual
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Provider Name | BRIAN DAVID BECKLER CRPA, NYCPS
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Gender | Male
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Dates
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Enumeration Date | 12/14/2020
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Last Update Date | 12/14/2020
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Provider Practice Location Address
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Address Line | 1099 JAY ST
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City | ROCHESTER
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State | NY
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Zip | 14611-1153
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Country | US
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Telephone | 585-319-1030
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Fax |
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Provider Business Mailing Address
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Address Line | 1099 JAY ST STE 202
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City | ROCHESTER
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State | NY
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Zip | 14611-1153
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Country | US
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Telephone | 585-319-1030
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Fax |
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | NYCPS-P-3794
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | CRPA-4379
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License Number State | NY
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