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General NPI Number Information
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NPI Number | 1073579637
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Entity Type | Individual
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Provider Name | BECKIE M GRGICH PSYD, PSY
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Gender | Female
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Dates
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Enumeration Date | 04/24/2006
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Last Update Date | 11/20/2018
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Provider Practice Location Address
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Address Line | 14960 WOODCARVER RD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-2370
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Country | US
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Telephone | 193-448-7797
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Fax | 193-139-2107
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Provider Business Mailing Address
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Address Line | PO BOX 3392
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City | MONUMENT
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State | CO
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Zip | 80132-3392
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Country | US
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Telephone | 719-344-8779
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Fax | 719-313-9210
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4845018-2501
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | P40413
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6176
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3041
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License Number State | CO
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