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General NPI Number Information
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NPI Number | 1386642577
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Entity Type | Individual
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Provider Name | JOHN K BEIGHLE DPM
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Gender | Male
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 1801 SELWAY DR
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City | MISSOULA
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State | MT
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Zip | 59808-9314
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Country | US
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Telephone | 406-240-4593
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 SELWAY DR
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City | MISSOULA
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State | MT
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Zip | 59808-9314
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Country | US
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Telephone | 406-240-4593
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 113
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 113
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 219938
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License Number State | MT
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