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General NPI Number Information
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NPI Number | 1952508822
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Entity Type | Individual
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Provider Name | KATHLEEN MARTIN BECKUM M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 05/05/2014
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Provider Practice Location Address
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Address Line | 2000 6TH AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-2110
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Country | US
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Telephone | 205-801-8000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 55310
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City | BIRMINGHAM
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State | AL
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Zip | 35255-5310
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Country | US
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Telephone | 205-731-9701
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 2007018072
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 29214
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | 29214
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License Number State | AL
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