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General NPI Number Information
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NPI Number | 1831528785
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Entity Type | Individual
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Provider Name | JEREMY BECKER OTR/L
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Gender | Male
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Dates
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Enumeration Date | 11/01/2013
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Last Update Date | 11/01/2013
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Provider Practice Location Address
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Address Line | 2440 LAURELHURST RD
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City | UNIVERSITY HEIGHTS
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State | OH
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Zip | 44118-4671
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Country | US
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Telephone | 240-688-0654
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Fax |
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Provider Business Mailing Address
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Address Line | 7000 COCHRAN RD
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City | SOLON
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State | OH
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Zip | 44139-4304
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 008297
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License Number State | OH
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