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General NPI Number Information
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NPI Number | 1871787382
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Entity Type | Organization
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Legal Business Name | BECTON ENTERPRISES
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 09/16/2008
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Provider Practice Location Address
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Address Line | 12909 56TH ST STE 204
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617
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Country | US
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Telephone | 813-929-7067
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Fax | 813-985-1255
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Provider Business Mailing Address
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Address Line | 12909 56TH ST N STE 204
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617
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Country | US
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Telephone | 813-929-7067
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Fax | 813-985-1255
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. CHRISTAL RENEE' BECTON
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Credential | MA.
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Telephone | 813-929-7067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 30211314
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 30211314
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License Number State | FL
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