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General NPI Number Information
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NPI Number | 1558992768
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Entity Type | Individual
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Provider Name | BECKI LIVINGSTON MS, NCC, LPC-MHSP
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Gender | Female
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Dates
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Enumeration Date | 01/28/2020
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 1704 E BROADWAY AVE
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City | MARYVILLE
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State | TN
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Zip | 37804-2916
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Country | US
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Telephone | 865-681-6990
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Fax |
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Provider Business Mailing Address
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Address Line | 6906 KINGSTON PIKE STE 104
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City | KNOXVILLE
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State | TN
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Zip | 37919-5704
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Country | US
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Telephone | 865-309-5868
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5168
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License Number State | TN
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