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General NPI Number Information
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NPI Number | 1851830301
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Entity Type | Organization
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Legal Business Name | BEECH MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 02/16/2017
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Provider Practice Location Address
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Address Line | 2017 E ADOBE ST
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City | MESA
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State | AZ
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Zip | 85213-6740
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Country | US
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Telephone | 480-461-9370
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Fax |
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Provider Business Mailing Address
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Address Line | 2017 E ADOBE ST
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City | MESA
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State | AZ
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Zip | 85213-6740
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Country | US
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Telephone | 480-461-9370
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | CRISSY WEEKS
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Credential |
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Telephone | 480-461-9370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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