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General NPI Number Information
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NPI Number | 1578554432
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Entity Type | Organization
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Legal Business Name | BECKLEY GASTROENTEROLOGY INC
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 207 SUNSET DR
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City | BECKLEY
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State | WV
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Zip | 25801-2825
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Country | US
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Telephone | 304-255-5723
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Fax | 304-929-3953
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Provider Business Mailing Address
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Address Line | PO BOX 787
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City | CRAB ORCHARD
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State | WV
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Zip | 25827-0787
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Country | US
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Telephone | 304-253-5793
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Fax | 304-253-0166
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NAINESH PATEL
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Credential | MD
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Telephone | 304-237-4797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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