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General NPI Number Information
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NPI Number | 1326426933
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Entity Type | Organization
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Legal Business Name | TERESA BECKWITH, LAC
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Dates
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Enumeration Date | 05/14/2015
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Last Update Date | 05/14/2015
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Provider Practice Location Address
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Address Line | 5514 CABALLOS PL
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City | SAN DIEGO
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State | CA
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Zip | 92130-3725
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Country | US
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Telephone | 619-908-0228
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Fax |
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Provider Business Mailing Address
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Address Line | 5514 CABALLOS PL
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City | SAN DIEGO
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State | CA
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Zip | 92130-3725
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | TERESA BECKWITH
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Credential | MSTOM, LAC
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Telephone | 619-908-0228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 9410
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License Number State | CA
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