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General NPI Number Information
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NPI Number | 1457481723
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Entity Type | Organization
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Legal Business Name | CYNTHIA SCHUBBE BECKER DDS PC
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9905 ALLISONVILLE RD
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City | FISHERS
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State | IN
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Zip | 46038-2006
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Country | US
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Telephone | 317-849-0999
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Fax | 317-849-5641
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Provider Business Mailing Address
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Address Line | 9905 ALLISONVILLE RD
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City | FISHERS
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State | IN
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Zip | 46038-2006
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Country | US
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Telephone | 317-849-0999
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Fax | 317-849-5641
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Authorized Official
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Title or Position | CORPORATE SECRETARY
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Name | MRS. THOMAS L BECKER
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Credential |
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Telephone | 317-849-0999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8263
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License Number State | IN
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