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Individual
JOSEPH P BECKHAM
Active
Individual
JOSEPH P BECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20953
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
262475406
TAX IDENTIFIER
FL
01
—
U5183Z
MEDICARE PROVIDER NUMBER
FL
01
—
Y123S
BCBS PROVIDER ID
FL
Enumeration date
10/10/2005
Last updated
08/05/2008
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