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General NPI Number Information
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NPI Number | 1962799650
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Entity Type | Individual
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Provider Name | LISA BEITMAN M.P.T.
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Gender | Female
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Dates
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Enumeration Date | 07/01/2011
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Last Update Date | 09/17/2013
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Provider Practice Location Address
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Address Line | 255 SKIPPACK PIKE SUITE 130
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City | BLUE BELL
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State | PA
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Zip | 19422
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Country | US
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Telephone | 215-591-0700
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Fax |
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Provider Business Mailing Address
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Address Line | 523 CUSTIS RD
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City | GLENSIDE
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State | PA
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Zip | 19038-2011
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Country | US
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Telephone | 267-251-3015
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT015768
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License Number State | PA
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