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General NPI Number Information
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NPI Number | 1821091539
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Entity Type | Individual
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Provider Name | DENNIS JOHN BECK JR. MD
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Gender | Male
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 744 S WEBSTER AVE
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City | GREEN BAY
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State | WI
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Zip | 54301-3581
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Country | US
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Telephone | 920-433-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 9 VICTORIA DR
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City | NEWBURGH
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State | IN
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Zip | 47630-1500
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Country | US
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Telephone | 270-724-4443
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Fax | --
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 2218-320
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 33915
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 036.162271
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 01049271A
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License Number State | IN
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