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General NPI Number Information
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NPI Number | 1891037958
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Entity Type | Individual
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Provider Name | ELIZABETH ANNE BECKER P.T.
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Gender | Female
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Dates
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Enumeration Date | 03/26/2013
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Last Update Date | 08/06/2019
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Provider Practice Location Address
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Address Line | 2885 HARRIS ST
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City | EUREKA
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State | CA
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Zip | 95503-4808
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Country | US
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Telephone | 707-832-6071
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Fax |
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Provider Business Mailing Address
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Address Line | 1 YONCE CT
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-5657
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Country | US
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Telephone | 803-873-8044
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1895
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT012624L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 040.0133979
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License Number State | VT
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4341
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License Number State | NH
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40039
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License Number State | CA
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