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General NPI Number Information
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NPI Number | 1023248036
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Entity Type | Individual
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Provider Name | CHRISTINA M BECERRA RDN, LD
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Gender | Female
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Dates
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Enumeration Date | 07/24/2009
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Last Update Date | 08/17/2025
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Provider Practice Location Address
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Address Line | 711 MARSHALL ST
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City | LEAVENWORTH
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State | KS
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Zip | 66048-3235
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Country | US
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Telephone | 913-684-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 4021 COLONEL VANDERHORST CIR
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City | MOUNT PLEASANT
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State | SC
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Zip | 29466-8036
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Country | US
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Telephone | 913-952-5404
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Fax |
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | L0088767
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1049
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License Number State | SC
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