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General NPI Number Information
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NPI Number | 1437399649
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Entity Type | Organization
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Legal Business Name | EDWARD W BEAL MD CHARTERED
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Dates
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Enumeration Date | 02/27/2009
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Last Update Date | 02/27/2009
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Provider Practice Location Address
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Address Line | 5908 BLOOMINGDALE TER
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City | ROCKVILLE
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State | MD
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Zip | 20852-5547
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Country | US
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Telephone | 301-881-2440
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Fax | 301-881-2765
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Provider Business Mailing Address
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Address Line | 5908 BLOOMINGDALE TER
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City | ROCKVILLE
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State | MD
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Zip | 20852-5547
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EDWARD W BEAL
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Credential | MD
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Telephone | 301-881-2440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D15560
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License Number State | MD
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