MEDICARE: DACHA BECKEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	VN 246061	CA

General Provider Information

NPI Number	:	1730586553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DACHA BECKEL

Provider Business Mailing Address
First Line	:	PO BOX 762
Second Line	:
City	:	RANCHO CORDOVA
State	:	CA
Zip	:	95741-0762
Country	:	US
Telephone Number	:	916-740-9661
Fax Number	:

Provider Business Practice Location Address
First Line	:	3612 GOLDEN EAGLE WAY
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-3519
Country	:	US
Telephone Number	:	916-740-9661
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2014
Last Update Date	:	11/21/2014

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Directions to “ DACHA BECKEL ” Practice Location

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