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General NPI Number Information
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NPI Number | 1720972896
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Entity Type | Organization
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Legal Business Name | BEACON HEALTH GROUP PC
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 555 STATE RD STE 102
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City | BENSALEM
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State | PA
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Zip | 19020-7793
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Country | US
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Telephone | 718-972-3693
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Fax |
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Provider Business Mailing Address
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Address Line | 2965 OCEAN PKWY STE 2A
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City | BROOKLYN
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State | NY
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Zip | 11235-8024
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COO
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Name | NATALIE BINSHTEYN
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Credential |
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Telephone | 347-653-9069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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