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NPI 1962424697

NPI 1962424697 : SCOTT LEGRANT BEECH MD : NEW ORLEANS, LA

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General NPI Number Information
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    NPI Number           |    1962424697
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    Entity Type          |    Individual 
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    Provider Name        |    SCOTT LEGRANT BEECH MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/24/2006
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    Last Update Date     |    06/18/2008
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Provider Practice Location Address
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    Address Line         |    1415 TULANE AVE HC 71
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    City                 |    NEW ORLEANS
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    State                |    LA
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    Zip                  |    70112-2600
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    Country              |    US
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    Telephone            |    504-568-4646
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    Fax                  |    866-401-0539
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Provider Business Mailing Address
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    Address Line         |    1340 POYDRAS ST 
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    City                 |    NEW ORLEANS
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    State                |    LA
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    Zip                  |    70112-1221
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    Country              |    US
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    Telephone            |    504-412-1860
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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        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    020810
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    License Number State |    LA
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