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General NPI Number Information
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NPI Number | 1578869210
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Entity Type | Individual
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Provider Name | JAIME R BECKER MSOTR/L
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Gender | Female
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Dates
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Enumeration Date | 01/27/2011
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Last Update Date | 01/27/2011
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Provider Practice Location Address
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Address Line | 7242 WHITEHALL DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-2273
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Country | US
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Telephone | 317-288-7606
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Fax | 317-288-7607
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Provider Business Mailing Address
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Address Line | 7027 CHESTERTON CIR
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City | INDIANAPOLIS
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State | IN
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Zip | 46237-8305
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Country | US
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Telephone | 765-465-9284
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 31004971A
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License Number State | IN
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