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General NPI Number Information
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NPI Number | 1669689865
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Entity Type | Individual
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Provider Name | WILLIAM JEREMY BECKWORTH MD
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Gender | Male
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 02/08/2023
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Provider Practice Location Address
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Address Line | 50 HOSPITAL DR STE 2D
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-5251
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Country | US
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Telephone | 828-654-8546
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Fax | 828-650-8060
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Provider Business Mailing Address
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Address Line | PO BOX 1869
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City | FLETCHER
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State | NC
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Zip | 28732-1869
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Country | US
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Telephone |
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Fax | 828-650-8076
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 059042
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 2022-02036
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License Number State | NC
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