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General NPI Number Information
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NPI Number | 1215060637
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Entity Type | Individual
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Provider Name | VELVET DENISE BECKWITH LCAS
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Gender | Female
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 721 TUCKER ST
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City | RALEIGH
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State | NC
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Zip | 27603-1248
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Country | US
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Telephone | 919-833-8862
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Fax | 919-833-8595
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Provider Business Mailing Address
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Address Line | 64 RIDGEWAY DREWRY RD PO BOX 286
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City | MANSON
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State | NC
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Zip | 27553-9737
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Country | US
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Telephone | 252-456-4057
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1071
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License Number State | NC
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