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General NPI Number Information
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NPI Number | 1174261721
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Entity Type | Organization
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Legal Business Name | MARIA K BECKER DDS PC
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Dates
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Enumeration Date | 05/24/2022
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 2727 N 15TH ST
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City | FORT DODGE
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State | IA
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Zip | 50501-7203
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Country | US
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Telephone | 515-576-5786
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Fax | 515-576-5128
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Provider Business Mailing Address
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Address Line | PO BOX 1823
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City | FORT DODGE
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State | IA
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Zip | 50501-1823
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Country | US
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Telephone | 515-576-5786
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Fax | 515-576-5128
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. MARIA BECKER
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Credential | DDS
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Telephone | 515-576-5786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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