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General NPI Number Information
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NPI Number | 1417157348
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Entity Type | Organization
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Legal Business Name | ELAINE A BEED M D INC
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 08/05/2008
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Provider Practice Location Address
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Address Line | 660 COOPER RD STE 600
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City | WESTERVILLE
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State | OH
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Zip | 43081-9235
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Country | US
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Telephone | 614-523-1611
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Fax | 614-794-4289
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Provider Business Mailing Address
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Address Line | PO BOX 641185
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City | CINCINNATI
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State | OH
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Zip | 45264-0302
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Country | US
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Telephone | 614-523-1611
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Fax | 614-794-4289
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELAINE ALFREDA BEED
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Credential | M.D
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Telephone | 614-523-1611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 045906
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License Number State | OH
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