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General NPI Number Information
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NPI Number | 1093950693
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Entity Type | Individual
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Provider Name | BRANDON LEE BECKEN O.D.
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Gender | Male
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Dates
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Enumeration Date | 12/10/2008
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Last Update Date | 04/13/2020
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Provider Practice Location Address
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Address Line | 21055 E RITTENHOUSE RD
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-4477
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Country | US
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Telephone | 480-457-1958
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Fax | 480-457-1960
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Provider Business Mailing Address
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Address Line | 18739 E BRAEBURN LN
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-6461
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Country | US
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Telephone | 480-282-1736
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Fax | 480-457-1960
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT-OPT-LIC-2800
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 100836529934
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 003006
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 60696160
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618002534
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT0003259
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License Number State | CO
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Taxonomy #7
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | ODP-100384
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License Number State | ID
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Taxonomy #8
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4066AT
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License Number State | OR
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Taxonomy #9
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3591-35
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License Number State | WI
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Taxonomy #10
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18004200A
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License Number State | IN
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Taxonomy #11
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT.0003259
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License Number State | OH
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Taxonomy #12
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1635
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License Number State | AZ
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