Basic Information
Provider Information
NPI: 1588768055
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BECKER-DREPS
FirstName: SYLVIA
MiddleName: I
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 143 W FRANKLIN ST
Address2:  
City: CHAPEL HILL
State: NC
PostalCode: 275162539
CountryCode: US
TelephoneNumber: 9199664996
FaxNumber: 9198435515
Practice Location
Address1: 301 LLOYD ST
Address2:  
City: CARRBORO
State: NC
PostalCode: 275101823
CountryCode: US
TelephoneNumber: 9199338494
FaxNumber: 9199339201
Other Information
ProviderEnumerationDate: 09/12/2006
LastUpdateDate: 03/13/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X200101173NCY Allopathic & Osteopathic PhysiciansFamily Medicine 

ID Information
IDTypeStateIssuerDescription
89130KV05NC MEDICAID


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