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General NPI Number Information
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NPI Number | 1396921904
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Entity Type | Organization
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Legal Business Name | SCOTT D BEEDE MD PA
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 12/31/2012
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Provider Practice Location Address
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Address Line | 951 NW 13TH ST STE 4C
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City | BOCA RATON
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State | FL
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Zip | 33486-2337
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Country | US
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Telephone | 561-395-0455
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Fax | 561-395-3032
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Provider Business Mailing Address
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Address Line | 951 NW 13TH ST STE 4C
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City | BOCA RATON
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State | FL
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Zip | 33486-2337
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Country | US
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Telephone | 561-395-0455
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Fax | 561-395-3032
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. SHARON J BEEDE
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Credential | RN
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Telephone | 561-395-0455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME78380
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License Number State | FL
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