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General NPI Number Information
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NPI Number | 1811989577
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Entity Type | Individual
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Provider Name | JOHN DAVID BEERBOWER MD
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Gender | Male
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 12/01/2014
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Provider Practice Location Address
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Address Line | 3692 E SAM HOUSTON PKWY S
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City | PASADENA
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State | TX
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Zip | 77505-3102
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Country | US
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Telephone | 281-487-6736
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Fax | 281-487-1766
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Provider Business Mailing Address
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Address Line | 3692 E SAM HOUSTON PKWY S
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City | PASADENA
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State | TX
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Zip | 77505-3102
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Country | US
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Telephone | 281-487-6736
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Fax | 281-487-1766
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | F9183
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | F9183
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | F9183
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | F9183
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | F9183
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License Number State | TX
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