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General NPI Number Information
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NPI Number | 1801859020
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Entity Type | Organization
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Legal Business Name | BECK'S HEALTHCARE, LLC
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 02/09/2010
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Provider Practice Location Address
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Address Line | 156 N MAIN ST
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City | CLAYTON
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State | GA
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Zip | 30525-4266
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Country | US
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Telephone | 706-782-5044
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Fax | 706-782-5024
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Provider Business Mailing Address
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Address Line | PO BOX 1947
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City | CLAYTON
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State | GA
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Zip | 30525-0049
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Country | US
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Telephone | 706-782-5044
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Fax | 706-782-5024
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. TIMOTHY SCOTT BECK
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Credential | M.D.
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Telephone | 706-782-5044
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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 |
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License Number State |
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