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Individual
HOWARD CARLISLE BEAN
Active
Individual
HOWARD CARLISLE BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8882
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088826
—
SC
01
—
P00386784
MEDICARE RAILROAD PTAN #
GA
01
—
SCE4895019
MEDICARE PIN
SC
01
—
SCE4896084
MEDICARE PIN
SC
Enumeration date
05/16/2006
Last updated
11/23/2020
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