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General NPI Number Information
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NPI Number | 1831254127
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Entity Type | Individual
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Provider Name | DEVRA BEYER BECKER M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 1068 CRESTHAVEN RD STE 500
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City | MEMPHIS
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State | TN
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Zip | 38119-0846
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Country | US
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Telephone | 901-866-8525
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Fax | 901-302-2525
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Provider Business Mailing Address
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Address Line | 1068 CRESTHAVEN RD STE 300
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City | MEMPHIS
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State | TN
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Zip | 38119-0809
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Country | US
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Telephone | 901-866-8864
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 2001001460
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 35.090140
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2082S0099X
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Taxonomy Name | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
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License Number | 2001001460
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 2082S0105X
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Taxonomy Name | Surgery of the Hand (Plastic Surgery) Physician
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License Number | 2001001460
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 65086
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License Number State | TN
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