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General NPI Number Information
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NPI Number | 1154704641
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Entity Type | Organization
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Legal Business Name | BEEBE HEALTHCARE
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Dates
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Enumeration Date | 07/02/2015
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Last Update Date | 07/02/2015
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Provider Practice Location Address
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Address Line | 424 SAVANNAH RD
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City | LEWES
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State | DE
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Zip | 19958-1462
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Country | US
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Telephone | 302-645-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 100B KEARSNEY CT APT 5
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City | DOVER
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State | DE
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Zip | 19901-4221
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Country | US
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Telephone | 732-614-9413
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | KARISSA BORRELLI
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Credential | RN
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Telephone | 732-614-9413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | L10045124
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License Number State | DE
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