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General NPI Number Information
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NPI Number | 1255622379
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Entity Type | Organization
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Legal Business Name | MICHAEL S. BECKER, PC
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Dates
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Enumeration Date | 04/23/2011
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Last Update Date | 04/23/2011
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Provider Practice Location Address
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Address Line | 942 N 13TH ST
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City | GENEVA
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State | NE
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Zip | 68361-1218
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Country | US
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Telephone | 402-759-3802
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Fax | 402-759-3803
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Provider Business Mailing Address
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Address Line | 942 N 13TH ST
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City | GENEVA
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State | NE
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Zip | 68361-1218
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Country | US
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Telephone | 402-759-3802
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Fax | 402-759-3803
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL SCOTT BECKER
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Credential | MS, MSW, LCSW
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Telephone | 402-363-8774
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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 | 1551
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License Number State | NE
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