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NPI 1871729194

NPI 1871729194 : CHRISTINE ANN BECKMAN B.S.N., L.M.T. : BEATRICE, NE

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General NPI Number Information
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    NPI Number           |    1871729194
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINE ANN BECKMAN B.S.N., L.M.T.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/01/2009
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    Last Update Date     |    06/01/2009
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Provider Practice Location Address
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    Address Line         |    560 SARGENT 
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    City                 |    BEATRICE
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    State                |    NE
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    Zip                  |    68310
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    Country              |    US
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    Telephone            |    402-228-4000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    109 WILDWOOD CT 
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    City                 |    BEATRICE
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    State                |    NE
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    Zip                  |    68310-5155
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    Country              |    US
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    Telephone            |    402-228-0224
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    Fax                  |    402-228-8955
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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        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    2140
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    License Number State |    NE
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