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Individual

JENNIFER L. BECKER

Active
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Individual

JENNIFER L. BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
35487
SC
207RR0500X
Rheumatology Physician
49636
CT
207RR0500X
Rheumatology Physician
Primary
MD60795325
WA
207RR0500X
Rheumatology Physician
TL35487
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2094534
—
WA
05
—
354878
—
SC
01
—
P01194322
RAILROAD MEDICARE
SC
Enumeration date
05/03/2007
Last updated
12/01/2020
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