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General NPI Number Information
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NPI Number | 1861521643
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Entity Type | Individual
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Provider Name | BECKY J FIELDS M.A.
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Gender | Female
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 04/21/2014
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Provider Practice Location Address
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Address Line | 511 DEER CREEK DR
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City | CAPE CARTERET
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State | NC
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Zip | 28584-9702
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Country | US
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Telephone | 252-241-2126
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Fax | 252-393-3377
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Provider Business Mailing Address
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Address Line | 511 DEER CREEK DR
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City | CAPE CARTERET
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State | NC
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Zip | 28584-9702
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Country | US
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Telephone | 252-241-2126
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Fax | 252-393-3377
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 461
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License Number State | NC
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