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General NPI Number Information
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NPI Number | 1598745119
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Entity Type | Individual
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Provider Name | SCOTT D BEEDE MD
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Gender | Male
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 02/03/2012
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Provider Practice Location Address
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Address Line | 951 NW 13TH ST STE 4C
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City | BOCA RATON
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State | FL
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Zip | 33486-2337
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Country | US
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Telephone | 561-395-0455
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Fax | 561-395-3032
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Provider Business Mailing Address
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Address Line | 951 NW 13TH ST STE 4C
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City | BOCA RATON
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State | FL
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Zip | 33486-2337
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Country | US
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Telephone | 561-395-0455
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Fax | 561-395-3032
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME78380
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 34201-020
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 33480
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License Number State | MN
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