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General NPI Number Information
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NPI Number | 1376062646
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Entity Type | Individual
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Provider Name | CARLA ANN BECKTELL LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/18/2017
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Last Update Date | 01/18/2026
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Provider Practice Location Address
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Address Line | 1336 BRIDGEGATE DR
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City | DIAMOND BAR
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State | CA
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Zip | 91765-3955
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Country | US
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Telephone | 833-574-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 10432 RAMBLEWOOD DR
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City | STANTON
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State | CA
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Zip | 90680-1446
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Country | US
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Telephone | 714-318-4809
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 153484
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License Number State | CA
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