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General NPI Number Information
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NPI Number | 1942229034
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Entity Type | Individual
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Provider Name | STANLEY BEEKMAN DPM
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 02/01/2013
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Provider Practice Location Address
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Address Line | 13333 LORAIN AVE 13333 LORAIN AVE
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City | CLEVELAND
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State | OH
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Zip | 44111-3400
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Country | US
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Telephone | 216-941-3338
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Fax | 216-941-7505
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Provider Business Mailing Address
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Address Line | 133333 LORAIN AVENUE 13333 LORAIN AVENUE
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City | CLEVELAND
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State | OH
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Zip | 44111
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Country | US
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Telephone | 216-941-3338
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Fax | 216-941-7505
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 36001802B
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License Number State | OH
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