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General NPI Number Information
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NPI Number | 1487140331
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Entity Type | Individual
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Provider Name | KALLI J BECKWITH
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Gender | Female
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Dates
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Enumeration Date | 07/03/2018
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Last Update Date | 07/03/2018
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Provider Practice Location Address
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Address Line | 15108 SAGE VINEYARD CT
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City | BAKERSFIELD
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State | CA
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Zip | 93314-4735
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Country | US
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Telephone | 661-301-1443
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Fax |
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Provider Business Mailing Address
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Address Line | 15108 SAGE VINEYARD CT
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City | BAKERSFIELD
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State | CA
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Zip | 93314-4735
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 11416676
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 11416676
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-14-16676
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License Number State | CA
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