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General NPI Number Information
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NPI Number | 1518017755
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Entity Type | Individual
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Provider Name | MICHAEL BECKLER MSW
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | MCAFEE U. S. ARMY HEALTH CLINIC
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City | WHITE SANDS MISSILE RANGE
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State | NM
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Zip | 88011
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Country | US
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Telephone | 505-678-4992
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Fax |
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Provider Business Mailing Address
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Address Line | 5005 N. PIEDRAS STREET WILLIAM BEAUMONT ARMY MEDICAL CENTER
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City | EL PASO
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State | TX
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Zip | 79920-5001
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Country | US
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Telephone | 915-569-1386
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I-0019
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License Number State | NM
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