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General NPI Number Information
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NPI Number | 1598955882
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Entity Type | Organization
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Legal Business Name | STEPHEN R BECK MD PC
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 12/27/2011
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Provider Practice Location Address
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Address Line | 2704 E 62ND ST STE A
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-2984
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Country | US
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Telephone | 317-257-1535
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Fax | 315-257-7794
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Provider Business Mailing Address
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Address Line | 2704 E 62ND ST STE A
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-2985
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Country | US
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Telephone | 317-257-1535
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Fax | 315-257-7794
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. STEPHEN ROBERT BECK
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Credential | MD
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Telephone | 317-257-1535
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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 | 01036074
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License Number State | IN
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