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General NPI Number Information
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NPI Number | 1124421375
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Entity Type | Organization
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Legal Business Name | MARCIA BECK LCSW
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Dates
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Enumeration Date | 10/02/2014
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 828 N HANOVER ST LOWER
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City | POTTSTOWN
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State | PA
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Zip | 19464-4207
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Country | US
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Telephone | 484-949-9659
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Fax | 484-949-9684
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Provider Business Mailing Address
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Address Line | 828 N HANOVER ST LOWER
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City | POTTSTOWN
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State | PA
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Zip | 19464-4207
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Country | US
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Telephone | 484-949-9659
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Fax | 484-949-9684
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Authorized Official
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Title or Position | OWNER
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Name | MARCIA L BECK
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Credential | LCSW
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Telephone | 484-949-9659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CW015877
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License Number State | PA
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