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General NPI Number Information
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NPI Number | 1427917236
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Entity Type | Individual
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Provider Name | CRYSTAL LYNN BECKWITH
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Gender | Female
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Dates
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Enumeration Date | 01/17/2026
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Last Update Date | 01/17/2026
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Provider Practice Location Address
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Address Line | 125 JAMESTOWN ST # J
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City | LAKE CHARLES
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State | LA
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Zip | 70605-5711
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Country | US
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Telephone | 417-664-3851
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Fax |
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Provider Business Mailing Address
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Address Line | 737 KOCH RD
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City | ARNAUDVILLE
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State | LA
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Zip | 70512-6305
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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