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Individual

ASHLEY TARA BECKUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
205 E. HIRST ROAD, SUITE 200, PURCELLVILLE, VA 20132-6199
(540) 338-6101
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101276413
VA
207Q00000X
Family Medicine Physician
82780
SC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30018050860001
VA
Enumeration date
06/27/2016
Last updated
04/08/2025
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