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General NPI Number Information
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NPI Number | 1154494011
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Entity Type | Organization
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Legal Business Name | BEBE CARE
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 4333 PAN AMERICAN FWY NE STE B
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-6833
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Country | US
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Telephone | 505-266-3835
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Fax | 505-266-3340
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Provider Business Mailing Address
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Address Line | 4333 PAN AMERICAN FWY NE STE B
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City | ALBUQUERQUE
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State | NM
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Zip | 87107-6833
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Country | US
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Telephone | 505-266-3835
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Fax | 505-266-3340
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Authorized Official
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Title or Position | MD/OWNER
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Name | DORSEY M BEGGS
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Credential | MD
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Telephone | 505-250-6731
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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