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General NPI Number Information
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NPI Number | 1821259490
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Entity Type | Individual
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Provider Name | ERIC H BECK DO, EMT-P
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Gender | Male
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 05/30/2010
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Provider Practice Location Address
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Address Line | 5841 S MARYLAND AVE # MC5068 UNIVERSITY OF CHICAGO MEDICAL CENTER
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City | CHICAGO
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State | IL
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Zip | 60637-1447
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Country | US
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Telephone | 773-702-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 5841 S MARYLAND AVE # MC5068 UNIVERSITY OF CHICAGO MEDICAL CENTER
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City | CHICAGO
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State | IL
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Zip | 60637-1447
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Country | US
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Telephone | 773-702-9500
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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 | 146L00000X
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Taxonomy Name | Paramedic
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License Number |
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | OT012475
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 101871
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 125055762
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 02003669A
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License Number State | IN
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