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General NPI Number Information
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NPI Number | 1588600217
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Entity Type | Individual
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Provider Name | PHILIP BEATTIE MD
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Gender | Male
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5301 S CONGRESS AVE
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City | ATLANTIS
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State | FL
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Zip | 33462-1149
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Country | US
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Telephone | 561-548-3549
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Fax |
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Provider Business Mailing Address
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Address Line | 1843 KEITH RD
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City | ABINGTON
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State | PA
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Zip | 19001-3401
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Country | US
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Telephone | 215-886-2089
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME88719
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License Number State | FL
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