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General NPI Number Information
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NPI Number | 1699349860
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Entity Type | Individual
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Provider Name | COLBY BEECHAM
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Gender | Male
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Dates
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Enumeration Date | 05/13/2021
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | 1832 KEMPSVILLE RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-6861
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Country | US
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Telephone | 757-742-3778
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 VILLAS CT
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-6363
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Country | US
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Telephone | 757-892-4739
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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