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General NPI Number Information
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NPI Number | 1427102987
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Entity Type | Individual
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Provider Name | WILLIAM PATRICK BECK PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 105 HILLSIDE AVE
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City | WILLISTON PARK
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State | NY
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Zip | 11596-2311
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Country | US
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Telephone | 631-563-7326
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Fax |
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Provider Business Mailing Address
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Address Line | 242 FOSTER AVE
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City | SAYVILLE
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State | NY
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Zip | 11782-3113
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Country | US
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Telephone | 631-563-7326
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 006549
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License Number State | NY
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