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General NPI Number Information
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NPI Number | 1417286188
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Entity Type | Organization
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Legal Business Name | BEACHVIEW FAMILY HEALTH, LLC
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Dates
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Enumeration Date | 12/09/2009
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Last Update Date | 12/09/2009
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Provider Practice Location Address
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Address Line | 550 ATLANTIC AVE
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City | MILLVILLE
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State | DE
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Zip | 19967-6709
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Country | US
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Telephone | 302-537-8318
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Fax | 302-539-8736
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Provider Business Mailing Address
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Address Line | 550 ATLANTIC AVE
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City | MILLVILLE
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State | DE
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Zip | 19967-6709
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Country | US
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Telephone | 302-537-8318
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Fax | 302-539-8736
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | JULIE JOANNE HATTIER
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Credential | D.O.
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Telephone | 302-537-8318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | C20006548
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License Number State | DE
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