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NPI 1578663076

NPI 1578663076 : BEVERLY ATWOOD BECK M.ED, CCC-SLP, RN : WILMINGTON, NC

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General NPI Number Information
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    NPI Number           |    1578663076
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    Entity Type          |    Individual 
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    Provider Name        |    BEVERLY ATWOOD BECK M.ED, CCC-SLP, RN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/24/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    3311 BURNT MILL DR 
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    City                 |    WILMINGTON
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    State                |    NC
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    Zip                  |    28403-2654
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    Country              |    US
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    Telephone            |    910-251-5817
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    626 WEDGEWOOD RD 
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    City                 |    WHITEVILLE
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    State                |    NC
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    Zip                  |    28472-2931
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    Country              |    US
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    Telephone            |    910-641-0917
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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        |    163WW0101X
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    Taxonomy Name        |    Ambulatory Women's Health Care Registered Nurse
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    License Number       |    115732
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    1351
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    License Number State |    NC
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