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General NPI Number Information
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NPI Number | 1679646350
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Entity Type | Individual
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Provider Name | DAVID H BECK P.A.C.
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Gender | Male
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 6040 N 43RD AVE STE 1
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City | GLENDALE
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State | AZ
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Zip | 85301-5481
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Country | US
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Telephone | 623-931-2221
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Fax | 623-934-2849
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Provider Business Mailing Address
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Address Line | 3815 E BELL RD STE 4500
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City | PHOENIX
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State | AZ
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Zip | 85032-2171
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Country | US
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Telephone | 602-633-3848
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Fax | 602-633-3841
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 2288
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License Number State | AZ
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