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General NPI Number Information
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NPI Number | 1548329477
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Entity Type | Individual
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Provider Name | LESLI BECKWITH PHD
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Gender | Female
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1310 24TH AVENUE SOUTH
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City | NASHVILLE
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State | TN
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Zip | 37212
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Country | US
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Telephone | 615-346-2888
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Fax |
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Provider Business Mailing Address
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Address Line | 1441 NEW HIGHWAY 96 WEST P.O. BOX 21
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City | FRANKLIN
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State | TN
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Zip | 37064
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Country | US
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Telephone | 615-346-2888
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Fax | 615-435-3227
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2713
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY16712
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License Number State | CA
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