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NPI Code Detail

MEDICARE: AGELIKI BEKOS CCC-SLP

MEDICARE: AGELIKI BEKOS CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSLP 1095AZ

General Provider Information

NPI Number : 1528198686
Entity Type Code : Individual
Provider Name (Legal Business Name) : AGELIKI BEKOS CCC-SLP
Provider Business Mailing Address
First Line : 6306 N 7TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-1549
Country : US
Telephone Number : 602-279-5801
Fax Number : 602-279-0785
Provider Business Practice Location Address
First Line : 6306 N 7TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-1549
Country : US
Telephone Number : 602-279-5801
Fax Number : 602-279-0785
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 07/08/2007

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Directions to “ AGELIKI BEKOS CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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