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General NPI Number Information
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NPI Number | 1144865486
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Entity Type | Individual
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Provider Name | MICHAEL BECKER LPC
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Gender | Male
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Dates
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Enumeration Date | 11/11/2019
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Last Update Date | 11/11/2019
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Provider Practice Location Address
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Address Line | 710 JOHNNIE DODDS BLVD STE 200
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City | MOUNT PLEASANT
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State | SC
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Zip | 29464-3045
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Country | US
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Telephone | 443-604-3364
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Fax |
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Provider Business Mailing Address
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Address Line | 2814 SUMMERTREES BLVD
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City | JOHNS ISLAND
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State | SC
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Zip | 29455-3909
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Country | US
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Telephone | 443-604-3364
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC7323
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License Number State | SC
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