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General NPI Number Information
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NPI Number | 1679296958
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Entity Type | Individual
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Provider Name | CHRISTINA BECHAM
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Gender | Female
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Dates
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Enumeration Date | 09/22/2022
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 1000 TOWNE CENTER BLVD
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City | POOLER
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State | GA
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Zip | 31322-4052
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Country | US
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Telephone | 706-842-5330
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Fax | 706-842-5340
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Provider Business Mailing Address
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Address Line | 525 8TH ST P.O. BOX 2567
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City | AUGUSTA
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State | GA
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Zip | 30901-9998
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Country | US
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Telephone | 706-842-5330
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Fax | 706-842-5340
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-22-236038
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License Number State | GA
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