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General NPI Number Information
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NPI Number | 1518100239
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Entity Type | Individual
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Provider Name | KATHERINE A BECKWITH M.D., M.P.H.
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Gender | Female
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Dates
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Enumeration Date | 04/10/2009
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Last Update Date | 08/07/2015
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Provider Practice Location Address
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Address Line | 600 N WOLFE ST
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City | BALTIMORE
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State | MD
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Zip | 21287-0005
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Country | US
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Telephone | 410-955-2727
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Fax | 410-955-9850
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Provider Business Mailing Address
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Address Line | 61 DAVIS AVENUE SUITE 1
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City | NEPTUNE
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State | NJ
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Zip | 07753-4863
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Country | US
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Telephone | 732-776-4860
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Fax | 732-776-4867
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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 | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 25MA09682100
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License Number State | NJ
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