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General NPI Number Information
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NPI Number | 1932204963
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Entity Type | Individual
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Provider Name | BRIAN CHARLES BECK MSED, ATC, CES
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Gender | Male
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 12/04/2017
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Provider Practice Location Address
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Address Line | 600 FORBES AVE
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City | PITTSBURGH
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State | PA
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Zip | 15282-0001
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Country | US
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Telephone | 412-396-1149
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Fax | 412-396-1516
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Provider Business Mailing Address
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Address Line | 207 S MAIN ST
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City | SHARPSBURG
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State | PA
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Zip | 15215-2132
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Country | US
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Telephone | 804-614-5485
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | RT003560
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License Number State | PA
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