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General NPI Number Information
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NPI Number | 1437740602
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Entity Type | Individual
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Provider Name | ZACHARY JAY BECKNER DC
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Gender | Male
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 02/01/2021
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Provider Practice Location Address
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Address Line | 5 WEST FAIN ST
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City | BLUE RIDGE
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State | GA
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Zip | 30513
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Country | US
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Telephone | 706-946-1215
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Fax |
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Provider Business Mailing Address
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Address Line | 445 WHITE OAK DR
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City | MURPHY
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State | NC
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Zip | 28906
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Country | US
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Telephone | 828-557-7969
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR010495
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License Number State | GA
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