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General NPI Number Information
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NPI Number | 1336107077
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Entity Type | Individual
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Provider Name | AMY KAY BECKEN PT
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Gender | Female
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 04/02/2020
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Provider Practice Location Address
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Address Line | 35 STATE AVENUE
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City | FARIBAULT
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State | MN
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Zip | 55021
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Country | US
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Telephone | 507-332-0166
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Fax | 507-332-8069
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Provider Business Mailing Address
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Address Line | 35 STATE AVE
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City | FARIBAULT
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State | MN
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Zip | 55021-6368
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Country | US
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Telephone | 507-497-3790
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Fax | 507-497-3722
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 6739
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License Number State | MN
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