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General NPI Number Information
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NPI Number | 1740245281
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Entity Type | Individual
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Provider Name | NAMA BECK M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 999 N TUSTIN AVE
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City | SANTA ANA
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State | CA
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Zip | 92705-3528
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Country | US
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Telephone | 714-835-4129
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Fax | 714-835-4129
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Provider Business Mailing Address
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Address Line | 8 FORTUNA W
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City | IRVINE
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State | CA
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Zip | 92620-1848
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Country | US
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Telephone | 714-658-5190
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Fax | 714-835-4129
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A38311
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License Number State | CA
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