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Individual
MICHAEL T BECK
Active
Individual
MICHAEL T BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 10987
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PA109870
BLUE SHIELD PIN
CA
01
—
0PA109870
BLUE SHIELD
—
Enumeration date
06/08/2006
Last updated
08/15/2011
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