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General NPI Number Information
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NPI Number | 1265906291
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Entity Type | Individual
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Provider Name | DANI SUE BECKER FNP
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Gender | Female
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Dates
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Enumeration Date | 01/12/2019
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Last Update Date | 04/19/2023
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Provider Practice Location Address
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Address Line | 1655 N GLADSTONE AVE STE E
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City | COLUMBUS
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State | IN
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Zip | 47201-5380
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Country | US
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Telephone | 812-376-3071
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Fax | 812-375-2903
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Provider Business Mailing Address
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Address Line | 3515 AUTUMN CT
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City | COLUMBUS
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State | IN
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Zip | 47203-3559
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Country | US
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Telephone | 765-561-1110
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71008861A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 28132755A
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License Number State | IN
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