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General NPI Number Information
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NPI Number | 1942699798
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Entity Type | Organization
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Legal Business Name | EMILY BECK, PH.D., PLLC
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Dates
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Enumeration Date | 01/16/2015
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Last Update Date | 01/16/2015
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Provider Practice Location Address
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Address Line | 2700 S ROAN ST SUITE 205
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City | JOHNSON CITY
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State | TN
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Zip | 37601-7556
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Country | US
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Telephone | 423-930-4711
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 GRACE DR
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2904
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Country | US
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Telephone | 423-930-4711
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. EMILY K BECK
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Credential | PH.D.
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Telephone | 423-930-4711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 3227
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License Number State | TN
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