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General NPI Number Information
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NPI Number | 1093709552
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Entity Type | Individual
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Provider Name | LANCE J BECKER MD
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Gender | Male
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 1304 FAWCETT AVE STE 100
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City | TACOMA
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State | WA
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Zip | 98402-1900
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Country | US
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Telephone | 253-761-4200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3247
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City | EVANSVILLE
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State | IN
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Zip | 47731-3247
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Country | US
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Telephone | 800-467-2392
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Fax | 812-471-6650
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD61561453
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD073439L
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License Number State | PA
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