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General NPI Number Information
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NPI Number | 1679109375
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Entity Type | Individual
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Provider Name | KENT BECKER EDD, LPC, LMFT
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Gender | Male
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Dates
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Enumeration Date | 03/14/2020
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Last Update Date | 03/14/2020
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Provider Practice Location Address
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Address Line | 3309 CUCHARA CT
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City | LOVELAND
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State | CO
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Zip | 80538-5576
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Country | US
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Telephone | 307-760-9059
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Fax |
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Provider Business Mailing Address
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Address Line | 3309 CUCHARA CT
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City | LOVELAND
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State | CO
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Zip | 80538-5576
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Country | US
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Telephone | 307-760-9059
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC-647
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT.0001666
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT-088
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License Number State | WY
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC.0001171
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License Number State | CO
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