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General NPI Number Information
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NPI Number | 1255930467
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Entity Type | Organization
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Legal Business Name | JESSICA BECKA LLC
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Dates
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Enumeration Date | 10/19/2020
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 20620 JOHN CARROLL BLVD STE 214
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City | UNIVERSITY HEIGHTS
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State | OH
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Zip | 44118-4540
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Country | US
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Telephone | 216-408-7555
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Fax | 216-424-3239
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Provider Business Mailing Address
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Address Line | 1357 W 59TH ST
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City | CLEVELAND
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State | OH
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Zip | 44102-2101
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Country | US
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Telephone | 440-622-4444
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Fax | 216-424-3239
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Authorized Official
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Title or Position | OWNER/EMPLOYEE
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Name | JESSICA BECKA
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Credential |
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Telephone | 440-622-7444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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