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General NPI Number Information
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NPI Number | 1518382605
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Entity Type | Organization
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Legal Business Name | NANCY BECKER
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Dates
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Enumeration Date | 02/26/2014
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Last Update Date | 02/26/2014
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Provider Practice Location Address
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Address Line | 4809 CENTER BLVD
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City | LONG ISLAND CITY
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State | NY
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Zip | 11109-5605
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Country | US
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Telephone | 718-786-6736
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Fax |
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Provider Business Mailing Address
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Address Line | 4559 UTOPIA PKWY
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City | FLUSHING
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State | NY
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Zip | 11358-3330
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Country | US
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Telephone | 718-353-8078
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Fax |
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Authorized Official
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Title or Position | RN, JPHN
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Name | MRS. NANCY M BECKER
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Credential |
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Telephone | 718-786-6736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 262692-1
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License Number State | NY
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