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General NPI Number Information
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NPI Number | 1891347266
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Entity Type | Organization
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Legal Business Name | BECKWITH INTEGRATIVE MEDICINE, PLLC
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Dates
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Enumeration Date | 07/15/2019
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Last Update Date | 07/15/2019
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Provider Practice Location Address
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Address Line | 952 EDWARDS FERRY RD NE
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City | LEESBURG
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State | VA
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Zip | 20176-3324
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Country | US
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Telephone | 703-687-4158
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Fax | 703-687-4159
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Provider Business Mailing Address
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Address Line | 952 EDWARDS FERRY RD NE
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City | LEESBURG
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State | VA
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Zip | 20176-3324
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Country | US
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Telephone | 703-687-4158
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Fax | 703-687-4159
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROSHELLE BECKWITH
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Credential |
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Telephone | 703-687-4158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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