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General NPI Number Information
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NPI Number | 1922343128
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Entity Type | Individual
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Provider Name | ERIKA LEIGH BECKETT M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/29/2012
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 5495 MAPLE LN
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City | FAYETTEVILLE
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State | WV
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Zip | 25840-6872
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Country | US
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Telephone | 304-574-0120
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Fax |
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Provider Business Mailing Address
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Address Line | 207 WEST MAPLE AVENUE
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City | FAYETTEVILLE
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State | WV
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Zip | 25840
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Country | US
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Telephone | 304-574-2600
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Fax | 304-574-2951
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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 | 26559
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License Number State | WV
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