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General NPI Number Information
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NPI Number | 1477974319
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Entity Type | Individual
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Provider Name | CARLA BECKWARD
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Gender | Female
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Dates
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Enumeration Date | 12/19/2013
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 23330 FREDERICK RD
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City | CLARKSBURG
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State | MD
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Zip | 20871-9704
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Country | US
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Telephone | 301-331-8322
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 151
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City | CLARKSBURG
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State | MD
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Zip | 20871-0151
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Country | US
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Telephone | 301-331-8322
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 17819
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License Number State | MD
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