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NPI Code Detail

MEDICARE: CHELSEA BECK RN

MEDICARE: CHELSEA BECK RN
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
1163WC1500XCommunity Health Registered Nurse95021940CA

General Provider Information

NPI Number : 1841031432
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA BECK RN
Provider Business Mailing Address
First Line : 7200 BANCROFT AVE STE 188
Second Line :
City : OAKLAND
State : CA
Zip : 94605-2452
Country : US
Telephone Number : 510-433-1150
Fax Number : 510-553-1099
Provider Business Practice Location Address
First Line : 7200 BANCROFT AVE STE 188
Second Line :
City : OAKLAND
State : CA
Zip : 94605-2452
Country : US
Telephone Number : 510-433-1150
Fax Number : 510-553-1099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2024
Last Update Date : 06/05/2024

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