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General NPI Number Information
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NPI Number | 1659110393
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Entity Type | Individual
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Provider Name | KALI RAE BECK PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 505 ELM ST NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-2500
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Country | US
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Telephone | 505-727-4725
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 NEW CANOPY CT
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City | SUMMERVILLE
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State | SC
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Zip | 29486-7975
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Country | US
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Telephone | 843-300-8887
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT.12343
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License Number State | SC
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