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General NPI Number Information
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NPI Number | 1003017526
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Entity Type | Individual
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Provider Name | TANYA DENISE BECKFORD M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 06/06/2014
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Provider Practice Location Address
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Address Line | 1279 HIGHWAY 54 W SUITE 220
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-4550
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Country | US
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Telephone | 770-991-2200
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Fax | 770-716-8672
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Provider Business Mailing Address
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Address Line | 1279 HIGHWAY 54 W SUITE 220
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-4550
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Country | US
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Telephone | 770-991-2200
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Fax | 770-716-8672
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 244284
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 060703
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License Number State | GA
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