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NPI Code Detail

MEDICARE: TEAGAN BECK

MEDICARE: TEAGAN BECK
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
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1538517487
Entity Type Code : Individual
Provider Name (Legal Business Name) : TEAGAN BECK
Provider Business Mailing Address
First Line : 500 FAIRWAY DR STE 102
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1817
Country : US
Telephone Number : 888-880-9270
Fax Number :
Provider Business Practice Location Address
First Line : 1 S CHURCH AVE STE 1200
Second Line :
City : TUCSON
State : AZ
Zip : 85701-1601
Country : US
Telephone Number : 402-366-7284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2016
Last Update Date : 06/01/2016

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Directions to “ TEAGAN BECK ” Practice Location

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