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General NPI Number Information
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NPI Number | 1457324717
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Entity Type | Individual
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Provider Name | PHILIP BESHANY MD
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Gender | Male
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 04/09/2010
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Provider Practice Location Address
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Address Line | 713 VOLVO PKWY SUITE 100
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City | CHESAPEAKE
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State | VA
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Zip | 23320-1614
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Country | US
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Telephone | 757-548-0076
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Fax | 757-548-1652
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Provider Business Mailing Address
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Address Line | 3241 WESTERN BRANCH BLVD
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City | CHESAPEAKE
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State | VA
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Zip | 23321-5260
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Country | US
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Telephone | 757-686-3508
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Fax | 757-686-0541
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101039156
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License Number State | VA
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