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General NPI Number Information
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NPI Number | 1962878041
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Entity Type | Individual
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Provider Name | JASON LEE BECK D.D.S., M.SC
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Gender | Male
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Dates
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Enumeration Date | 08/12/2015
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 110 MCEVER ST
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City | CARTERSVILLE
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State | GA
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Zip | 30120-3336
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Country | US
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Telephone | 770-588-0088
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Fax | 770-588-0188
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Provider Business Mailing Address
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Address Line | PO BOX 1012
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City | CARTERSVILLE
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State | GA
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Zip | 30120-1012
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Country | US
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Telephone | 770-546-6980
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Fax | 770-588-0188
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN015791
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 31373
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License Number State | TX
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