{
  "npi": "1780688465",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2026-07-06",
    "credential": "PA-C",
    "enumeration_date": "2005-06-09",
    "first_name": "DANIEL",
    "last_name": "BECK",
    "last_updated": "2026-07-06",
    "middle_name": "A",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
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    {
      "address_1": "280 DUNDAS DR",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "JACKSONVILLE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "904-714-3574",
      "postal_code": "322185517",
      "state": "FL",
      "telephone_number": "904-751-4906"
    },
    {
      "address_1": "330 CORPORATE WAY STE 200",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "ORANGE PARK",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "904-866-4818",
      "postal_code": "320736214",
      "state": "FL",
      "telephone_number": "904-282-6331"
    }
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  "taxonomies": [
    {
      "code": "363A00000X",
      "desc": "Physician Assistant",
      "license": "PA3181",
      "primary": true,
      "state": "FL",
      "taxonomy_group": ""
    },
    {
      "code": "363AS0400X",
      "desc": "Physician Assistant, Surgical",
      "license": "PA3181",
      "primary": false,
      "state": "FL",
      "taxonomy_group": ""
    }
  ],
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    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "97",
        "medicare_type": "Physician Assistant"
      }
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}