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General NPI Number Information
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NPI Number | 1437897410
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Entity Type | Organization
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Legal Business Name | TIMOTHY J. BECKER DDS
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Dates
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Enumeration Date | 05/20/2022
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Last Update Date | 05/20/2022
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Provider Practice Location Address
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Address Line | 47 WEST 2ND STREET
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City | BEAVER
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State | OK
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Zip | 73932-7393
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Country | US
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Telephone | 580-625-3111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 190
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City | BEAVER
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State | OK
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Zip | 73932-0190
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Country | US
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Telephone | 580-625-3111
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Fax |
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Authorized Official
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Title or Position | DENTAL/OFFICE ASSISTANT
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Name | MRS. SIEARRA VALENZUELA GARCIA
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Credential |
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Telephone | 620-655-7190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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