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General NPI Number Information
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NPI Number | 1326907981
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Entity Type | Individual
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Provider Name | TAYLOR BECKER
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Gender | Female
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 212 S 4TH ST
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City | GRAND FORKS
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State | ND
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Zip | 58201-4777
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Country | US
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Telephone | 701-757-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 S 25TH ST APT 18
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City | GRAND FORKS
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State | ND
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Zip | 58201-6477
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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 |
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 49429
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License Number State | ND
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