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General NPI Number Information
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NPI Number | 1912129354
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Entity Type | Individual
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Provider Name | JENNIFER L. BECKER MD
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 12/01/2020
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Provider Practice Location Address
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Address Line | 853 N CHURCH ST SUITE 720A
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City | SPARTANBURG
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State | SC
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Zip | 29303-3098
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Country | US
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Telephone | 864-560-6844
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Fax | 864-560-7015
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Provider Business Mailing Address
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Address Line | 22180 OLYMPIC COLLEGE WAY NW STE 102
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City | POULSBO
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State | WA
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Zip | 98370-6664
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Country | US
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Telephone | 360-779-4444
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Fax | 253-426-6344
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 35487
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 49636
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | TL35487
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD60795325
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License Number State | WA
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