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General NPI Number Information
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NPI Number | 1659141414
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Entity Type | Individual
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Provider Name | MEAGAN ASHLEY BECKER MSW, ACSW
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Gender | Female
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Dates
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Enumeration Date | 01/03/2024
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 5252 BALBOA AVE STE 408
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City | SAN DIEGO
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State | CA
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Zip | 92117-6939
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Country | US
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Telephone | 858-727-4473
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Fax |
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Provider Business Mailing Address
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Address Line | 12178 SALIX WAY
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City | SAN DIEGO
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State | CA
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Zip | 92129-3767
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Country | US
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Telephone | 520-461-7971
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 119176
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License Number State | CA
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