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General NPI Number Information
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NPI Number | 1174339840
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Entity Type | Individual
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Provider Name | NATASHA A BECK
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Gender | Female
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 5040 E SHEA BLVD STE 164
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-4686
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Country | US
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Telephone | 480-386-9026
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Fax |
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Provider Business Mailing Address
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Address Line | 2105 E 25TH PL
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City | YUMA
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State | AZ
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Zip | 85365-3242
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Country | US
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Telephone | 928-304-3358
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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