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General NPI Number Information
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NPI Number | 1518473347
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Entity Type | Organization
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Legal Business Name | JOSHUA BECKETT LMFT
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Dates
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Enumeration Date | 12/15/2017
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Last Update Date | 12/15/2017
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Provider Practice Location Address
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Address Line | 663 LILLIAN WAY
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City | LOS ANGELES
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State | CA
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Zip | 90004-1107
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Country | US
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Telephone | 310-737-8025
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Fax |
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Provider Business Mailing Address
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Address Line | 2355 WESTWOOD BLVD # 1152
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City | LOS ANGELES
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State | CA
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Zip | 90064-2109
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Country | US
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Telephone | 310-737-8025
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | JOSHUA BECKETT
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Credential | LMFT
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Telephone | 310-737-8025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 102884
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License Number State | CA
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