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General NPI Number Information
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NPI Number | 1588293245
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Entity Type | Individual
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Provider Name | EUN MI BEATTIE MD
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Gender | Female
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Dates
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Enumeration Date | 04/05/2020
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 462 GRIDER ST DEPT PSYCHIATRY DEPARTMENT, CC: CAROL REGAN
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City | BUFFALO
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State | NY
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Zip | 14215-3021
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Country | US
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Telephone | 716-898-4221
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1426
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City | BUFFALO
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State | NY
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Zip | 14240-1426
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Country | US
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Telephone | 716-536-0698
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 332031
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number | 332031
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 332031
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 332031
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License Number State | NY
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