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General NPI Number Information
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NPI Number | 1699462176
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Entity Type | Individual
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Provider Name | SHIRLEY YVONNE BECARIA
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Gender | Female
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Dates
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Enumeration Date | 04/24/2023
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 1813 W 148TH ST
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City | GARDENA
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State | CA
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Zip | 90249-3356
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Country | US
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Telephone | 310-347-2077
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Fax |
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Provider Business Mailing Address
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Address Line | 1813 W 148TH ST
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City | GARDENA
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State | CA
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Zip | 90249-3356
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Country | US
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Telephone | 424-205-7669
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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 | 172A00000X
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Taxonomy Name | Driver
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License Number | C3668994
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License Number State | CA
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