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General NPI Number Information
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NPI Number | 1154306488
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Entity Type | Organization
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Legal Business Name | BEAUMONT EYE ASSOCIATES PLLC
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Dates
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Enumeration Date | 12/09/2005
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 3220 MILAM ST
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City | BEAUMONT
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State | TX
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Zip | 77701-4754
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Country | US
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Telephone | 409-838-3725
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Fax | 409-832-5372
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Provider Business Mailing Address
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Address Line | 3220 MILAM ST
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City | BEAUMONT
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State | TX
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Zip | 77701-4754
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Country | US
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Telephone | 409-838-3725
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Fax | 409-832-5372
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MRS. PAMELA ELKINS
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Credential |
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Telephone | 409-838-3725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State | TX
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