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General NPI Number Information
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NPI Number | 1124563663
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Entity Type | Organization
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Legal Business Name | BEAUFILS CONSULTING GROUP, LLC
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Dates
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Enumeration Date | 12/19/2016
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Last Update Date | 12/19/2016
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Provider Practice Location Address
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Address Line | 109 S LEE ST
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-3709
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Country | US
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Telephone | 770-685-8494
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Fax | 770-991-5012
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Provider Business Mailing Address
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Address Line | 109 S LEE ST
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-3709
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Country | US
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Telephone | 770-685-8494
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Fax | 770-991-5012
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Authorized Official
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Title or Position | CEO
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Name | MRS. SHERLEY L BEAUFILS
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Credential | MSN. NP
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Telephone | 770-685-8494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 194212
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License Number State | GA
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