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General NPI Number Information
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NPI Number | 1902806771
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Entity Type | Individual
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Provider Name | DAVID ANTONIO BECERRIL MD
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Gender | Male
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 1224 E TRENT AVE
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City | SPOKANE
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State | WA
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Zip | 99202-2175
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Country | US
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Telephone | 509-535-8510
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Fax | 509-535-1635
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Provider Business Mailing Address
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Address Line | PO BOX 2112
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City | COEUR D ALENE
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State | ID
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Zip | 83816-2112
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Country | US
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Telephone | 509-535-8510
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 00021300
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | M-15965
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License Number State | ID
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