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General NPI Number Information
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NPI Number | 1568468023
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Entity Type | Individual
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Provider Name | RICHARD A BEHAM M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 02/21/2014
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Provider Practice Location Address
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Address Line | 2100 W CENTRAL AVE SUITE 100
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City | TOLEDO
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State | OH
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Zip | 43606-3834
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Country | US
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Telephone | 419-537-5111
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Fax | 419-537-5131
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Provider Business Mailing Address
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Address Line | 2100 W CENTRAL AVE SUITE 100
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City | TOLEDO
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State | OH
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Zip | 43606-3834
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Country | US
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Telephone | 419-537-5111
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Fax | 419-537-5131
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 35055885
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License Number State | OH
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