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General NPI Number Information
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NPI Number | 1831249788
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Entity Type | Individual
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Provider Name | JANIS E BECK O.D.
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Gender | Female
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 1220 N COLUMBIA CENTER BLVD STE H
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City | KENNEWICK
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State | WA
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Zip | 99336-1145
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Country | US
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Telephone | 509-591-9277
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Fax | 509-737-8935
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Provider Business Mailing Address
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Address Line | 1360 N LOUISIANA ST # A-744
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City | KENNEWICK
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State | WA
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Zip | 99336-7171
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Country | US
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Telephone | 509-591-9277
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Fax | 509-737-8935
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1863
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License Number State | WA
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