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Individual
DR. BECK SODERBERG
Active
Individual
DR. BECK SODERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD066886L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800558
MEDICARE ID TYPE UNSPECIFIED
PA
Enumeration date
10/12/2006
Last updated
02/25/2011
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