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General NPI Number Information
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NPI Number | 1720010846
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Entity Type | Individual
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Provider Name | DAVID ERIC BECK MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 05/07/2009
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Provider Practice Location Address
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Address Line | 559 CAPITOL BLVD
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City | SAINT PAUL
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State | MN
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Zip | 55103-2101
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Country | US
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Telephone | 651-232-2040
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Fax | 651-232-2118
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Provider Business Mailing Address
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Address Line | PO BOX 16011
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City | SAINT PAUL
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State | MN
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Zip | 55116-0011
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Country | US
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Telephone | 763-561-5986
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Fax | 763-561-6530
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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 | 41360
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License Number State | MN
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