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General NPI Number Information
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NPI Number | 1720504053
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Entity Type | Organization
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Legal Business Name | BRANDON BECKMAN DO, PLLC
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Dates
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Enumeration Date | 08/18/2017
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Last Update Date | 08/18/2017
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Provider Practice Location Address
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Address Line | 8800 U.S. HWY 380 700
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City | CROSSROADS
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State | TX
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Zip | 76227
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Country | US
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Telephone | 940-489-2012
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 S. LOOP 288, SUITE 104 PMB 284
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City | DENTON
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State | TX
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Zip | 76205
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Country | US
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Telephone | 940-489-2012
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BRANDON BECKMAN
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Credential | DO
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Telephone | 940-489-2012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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