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General NPI Number Information
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NPI Number | 1598753071
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Entity Type | Individual
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Provider Name | AARON R BECKER PSYD
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Gender | Male
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 12/28/2020
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Provider Practice Location Address
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Address Line | 715 RICHLAND MALL
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City | ONTARIO
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State | OH
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Zip | 44906-3802
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Country | US
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Telephone | 419-462-4588
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Fax |
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Provider Business Mailing Address
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Address Line | 700 N COLUMBUS ST
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City | CRESTLINE
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State | OH
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Zip | 44827-1455
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Country | US
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Telephone | 419-468-0522
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 5817
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License Number State | OH
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