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Individual
MELISSA BECKER
Active
Individual
MELISSA BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9114790
FL
363AS0400X
Surgical Physician Assistant
PA001049
ME
363AS0400X
Surgical Physician Assistant
PA9106619
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117257700
—
FL
01
—
PA001049
ALLOPATHIC-PA
ME
01
—
PA213
OSTEOPATHIC-PA
ME
Enumeration date
07/13/2006
Last updated
04/06/2023
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