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Individual
VANESSA N BECKER
Active
Individual
VANESSA N 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
PA03934
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OORM40
MEDICARE GROUP PTAN
TX
Enumeration date
06/10/2005
Last updated
10/29/2013
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