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General NPI Number Information
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NPI Number | 1396704524
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Entity Type | Individual
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Provider Name | TERESA M BECKETT ARNP, PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 05/10/2010
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Provider Practice Location Address
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Address Line | 611 SOUTH CHESTNUT SUITE D
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City | ELLENSBURG
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State | WA
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Zip | 98926-4815
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Country | US
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Telephone | 509-933-8700
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Fax | 509-933-8705
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Provider Business Mailing Address
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Address Line | 611 SOUTH CHESTNUT SUITE D
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City | ELLENSBURG
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State | WA
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Zip | 98926-4815
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Country | US
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Telephone | 509-933-8700
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Fax | 509-933-8705
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA10003395
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License Number State | WA
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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 | AP3002067
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License Number State | WA
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