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General NPI Number Information
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NPI Number | 1770156796
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Entity Type | Individual
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Provider Name | KRISTIN BECK DDS
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Gender | Female
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Dates
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Enumeration Date | 07/19/2021
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | 51 N FM 548 UNIT 201
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City | FORNEY
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State | TX
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Zip | 75126-4161
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Country | US
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Telephone | 972-810-1782
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Fax |
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Provider Business Mailing Address
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Address Line | 4606 AMESBURY DR APT 429
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City | DALLAS
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State | TX
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Zip | 75206-4845
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Country | US
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Telephone | 308-352-6425
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 37550
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License Number State | TX
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