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General NPI Number Information
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NPI Number | 1972555019
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Entity Type | Individual
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Provider Name | HOWARD BRUCE BECKMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 06/27/2012
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Provider Practice Location Address
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Address Line | 990 SOUTH AVE SUITE 207
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City | ROCHESTER
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State | NY
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Zip | 14620-2740
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Country | US
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Telephone | 585-341-6775
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Fax |
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Provider Business Mailing Address
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Address Line | 285 WESTMINSTER RD
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City | ROCHESTER
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State | NY
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Zip | 14607-3229
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Country | US
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Telephone | 585-341-6775
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Fax | 585-341-0861
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 182175
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License Number State | NY
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